Mineral Prostate Gland?


This is a case in which I didn’t notice anything at the time, but now reviewing the images wondering if I missed something and now wish I took more images.

– 10 year old MN Collie cross with hindend weakness, knuckling and lethargy

– echocardiogram showed CVD, good systolic function, no LAE, no pulmonary hypertension; ECG normal

– pet has  had a history of seizures (for a few years now) and currently on phenobarb and KBR

– bloodwork mild elevation in ALP, mild decrease ALB – other parameters normal

This is a case in which I didn’t notice anything at the time, but now reviewing the images wondering if I missed something and now wish I took more images.

– 10 year old MN Collie cross with hindend weakness, knuckling and lethargy

– echocardiogram showed CVD, good systolic function, no LAE, no pulmonary hypertension; ECG normal

– pet has  had a history of seizures (for a few years now) and currently on phenobarb and KBR

– bloodwork mild elevation in ALP, mild decrease ALB – other parameters normal

– abdominal ultrasound normal – no lymphadenopathy (normal medial iliac LN’s)

– now looking distal to the trigone of the UB, I am wondering if I am seeing a prostate with mineral present – which would be a bad thing in a neutered dog. What do you think?  I think I need to rescan this region more thoroughly.

Thanks


14 responses to “Mineral Prostate Gland?”

  1. I do believe there are some

    I do believe there are some small foci (non-shadowing) of mineral in the kidneys – see clip above that I added, but nothing that looks like renoliths.

    Have recommended to recheck in 1-2 months just in case.

    Thanks – nice to have a second set of eyes on these cases!

     

  2. I do believe there are some

    I do believe there are some small foci (non-shadowing) of mineral in the kidneys – see clip above that I added, but nothing that looks like renoliths.

    Have recommended to recheck in 1-2 months just in case.

    Thanks – nice to have a second set of eyes on these cases!

     

  3. I agree, more likely embedded

    I agree, more likely embedded uroliths or mineral sediment in the urethra than prostatic ACA.  Definitely a good idea to reimage in a month or 2 but from what is posted here, I’m not too concerened about prostatic mineralization.  Unrelated to Clinical signs too if there are changes there.  Another key point is when was the patient neutered (this case or others with mineral in the prostate)?  If neutered as an adult, prostatic mineralization is not pathopneumonic for TCC or adenocarcinoma because chronic prostatitis can and does lead to dystrophic mineralization that is benign in most cases.  If however the patient was neutered at a young age, then prostatic mineralization is pathopneumonic for neoplasia.

  4. I agree, more likely embedded

    I agree, more likely embedded uroliths or mineral sediment in the urethra than prostatic ACA.  Definitely a good idea to reimage in a month or 2 but from what is posted here, I’m not too concerened about prostatic mineralization.  Unrelated to Clinical signs too if there are changes there.  Another key point is when was the patient neutered (this case or others with mineral in the prostate)?  If neutered as an adult, prostatic mineralization is not pathopneumonic for TCC or adenocarcinoma because chronic prostatitis can and does lead to dystrophic mineralization that is benign in most cases.  If however the patient was neutered at a young age, then prostatic mineralization is pathopneumonic for neoplasia.

  5. Thanks Marty
    This patient was

    Thanks Marty

    This patient was neutered at a young age. We will continue to monitor

    Jacquie

  6. Thanks Marty
    This patient was

    Thanks Marty

    This patient was neutered at a young age. We will continue to monitor

    Jacquie

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