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Lacey liver lobe

Hi all –
I scanned a 14 year old MN cat yesterday with mild ALT/ALP elevation. Febrile, lethargic, inappetent. No vomiting or diarrhea. Was using a machine that took forever to take clips on so sorry, no video. Cat had a prominent panc, normal duct, sludge in gb and thickened GB wall, and most of the liver was normal except for the right liver lobe around the renal fossa. Kidneys were hyperechoic with odd striations through cortex/medulla. Cat has a heart murmur but LA:AO was only mildly abnormal. Thoughts? (Owner declined FNA and further workup)
Thanks

Kidneys:

Hi all –
I scanned a 14 year old MN cat yesterday with mild ALT/ALP elevation. Febrile, lethargic, inappetent. No vomiting or diarrhea. Was using a machine that took forever to take clips on so sorry, no video. Cat had a prominent panc, normal duct, sludge in gb and thickened GB wall, and most of the liver was normal except for the right liver lobe around the renal fossa. Kidneys were hyperechoic with odd striations through cortex/medulla. Cat has a heart murmur but LA:AO was only mildly abnormal. Thoughts? (Owner declined FNA and further workup)
Thanks

Kidneys:

2D quick heart, right side left recumbency

Liver mass

Coarse right lobe

Liver with hyperechoic nodule and GB

Thoughts appreciated.

Liz

12 responses to “Lacey liver lobe”

  1. Not an expert here but

    Not an expert here but wondering if the liver lesion may be  cystadenoma/cystadenocarcinoma?

    • maybe the small hyperechoic

      maybe the small hyperechoic lesion but the right liver lobe was really coarse in its entirety. 

  2. Not an expert here but

    Not an expert here but wondering if the liver lesion may be  cystadenoma/cystadenocarcinoma?

    • maybe the small hyperechoic

      maybe the small hyperechoic lesion but the right liver lobe was really coarse in its entirety. 

  3. chronic intertsitial renal

    chronic intertsitial renal pattern a little pyelectasia rk so culture the urine. The live rmasses are likely cystadenomas common old cat benign expansive masses. Not likely a player here. Some inflam hep liver with coarse architecture but if the panc was prominent then pancreatitis makes more sense and liver reacting to it through the portal system….more on this reactive liver check out my oratory post… broke my own rules wiht a long post sorry…

    Evaluating a Benign Liver, Coarse Liver, & “Lumped Up” Liver; “Grandma” & The Liver Enzyme Chase–What do they have in common?

    • Eric – 
      I don’t know what you

      Eric – 

      I don’t know what you mean by your “oratory” post.

      The entire right liver lobe was distinctly lacey and coarse compared to the other liver lobes – the liver parenchyma around the GB was normal.

      Liz

  4. chronic intertsitial renal

    chronic intertsitial renal pattern a little pyelectasia rk so culture the urine. The live rmasses are likely cystadenomas common old cat benign expansive masses. Not likely a player here. Some inflam hep liver with coarse architecture but if the panc was prominent then pancreatitis makes more sense and liver reacting to it through the portal system….more on this reactive liver check out my oratory post… broke my own rules wiht a long post sorry…

    Evaluating a Benign Liver, Coarse Liver, & “Lumped Up” Liver; “Grandma” & The Liver Enzyme Chase–What do they have in common?

    • Eric – 
      I don’t know what you

      Eric – 

      I don’t know what you mean by your “oratory” post.

      The entire right liver lobe was distinctly lacey and coarse compared to the other liver lobes – the liver parenchyma around the GB was normal.

      Liz

  7. Yes cystadenomas are

    Yes cystadenomas are multifocal and expand lobar which is why it was isolated and the otehr lobes dod not appear affected

  8. Yes cystadenomas are

    Yes cystadenomas are multifocal and expand lobar which is why it was isolated and the otehr lobes dod not appear affected

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