This is my assistant’s dog that we were just imaging to try out a new machine and found this on the vental aspect of the Urinary bladder near the neck. Clinically normal. Lymph node?
It looks like a lymph node. I dont see evidence of inflammation around it and the subjective width: length ratio looks within normal limits, yet its slightly hypoechoic and rounded.
I dont see evidence of UB or proximal urethra issues so it may just be incidental. I would watch it with FNA if it persists or changes in size.
Yes I agree its an abnormal area for a lymph node. You would expect a lymph node to be dorsal to the UB, unless its a deep inguinal lymph node but it appears to be to close to the UB for that. So its odd…
As I look at it closer, I believe its associated with the UB wall actually. You can see the UB wall actually go around the lesion. It looks solid to me a cyst is possible. You can try to put Color Doppler on it to see if you can get any vascularity associated with it.
I would recommend FNA of it now that I look closer at it.
I know this may sound rediculus- but when I look at the cine it appears that the orientation of the bladder may be reversed from what we normally see. If that is the case could this be a abnormally large and compartmentalized persistant urachus? Just a thought.
She did and I did aspirate the lesion but unfortunaley it was non-diagnostic despite feeling confident I was in the lesion. The dog is completely asymptomatic at this point so we’re going to follow it for a bit and decide whether to re-aspirate going forward.
8 responses to “What is this I’m looking at?”
It looks like a lymph node. I dont see evidence of inflammation around it and the subjective width: length ratio looks within normal limits, yet its slightly hypoechoic and rounded.
I dont see evidence of UB or proximal urethra issues so it may just be incidental. I would watch it with FNA if it persists or changes in size.
Is that a common area to find a lymph node? I’ve never seen one there before.
Yes I agree its an abnormal area for a lymph node. You would expect a lymph node to be dorsal to the UB, unless its a deep inguinal lymph node but it appears to be to close to the UB for that. So its odd…
As I look at it closer, I believe its associated with the UB wall actually. You can see the UB wall actually go around the lesion. It looks solid to me a cyst is possible. You can try to put Color Doppler on it to see if you can get any vascularity associated with it.
I would recommend FNA of it now that I look closer at it.
I know this may sound rediculus- but when I look at the cine it appears that the orientation of the bladder may be reversed from what we normally see. If that is the case could this be a abnormally large and compartmentalized persistant urachus? Just a thought.
Here’s another view that should ease your mind 🙂
She’s coming back in in two days to hopefully get a fna.
Cool keep us updated!
Did she come back? What are the results.
She did and I did aspirate the lesion but unfortunaley it was non-diagnostic despite feeling confident I was in the lesion. The dog is completely asymptomatic at this point so we’re going to follow it for a bit and decide whether to re-aspirate going forward.