A 13-year-old FS mixed breed canine was presented for weakness and anorexia. On physical examination the mucus membranes were pale and the abdomen was tense on palpation. Urinalysis showed an inappropriate SG, proteinuria, pyuria, and 2+ granular casts. Abnormalities on CBC and serum biochemistry were anemia, leukocytosis, neutrophilia, monocytosis, hyperglobulinemia, azotemia, and elevated ALP activity, cholesterol and amylase. T4 was low.
A 13-year-old FS mixed breed canine was presented for weakness and anorexia. On physical examination the mucus membranes were pale and the abdomen was tense on palpation. Urinalysis showed an inappropriate SG, proteinuria, pyuria, and 2+ granular casts. Abnormalities on CBC and serum biochemistry were anemia, leukocytosis, neutrophilia, monocytosis, hyperglobulinemia, azotemia, and elevated ALP activity, cholesterol and amylase. T4 was low.
08-00039 Roxy S Splenic and hepatic masses——-NO IMAGES—-
History
Clinical Differential Diagnosis
Renal – pyelonephritis, bacterial nephritis, abscess, neoplasia with secondary infection Peritonitis – bacterial, urine, bile Pancreas – pancreatitis, neoplasia, abscess Spleen – neoplasia, torsion, splenitis
DX
Sampling
None
Sonographic Differential Diagnosis
Multiple splenic masses. Right liver mass with similar echogenicity, which is likely a metastatic lesion. Normal heart.
Image Interpretation
The liver was largely normal except for a deep right liver mass that measured 6.9 cm. The splenic presented multiple, mixed, hypoechoic parenchymal masses and microcavitated masses with reactive omentum. This is suggestive for multi focal sarcoma or similar. The splenic masses measured 15 and 9 cm with other variable nodular changes. Rapid evaluation of the right heart revealed no evidence of metastatic disease.
Outcome
The pet was referred to an oncologist. One month after the ultrasound the owner elected to humanely euthanize the pet.
Video
Patient Information
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- Amylase, High
- Azotemia
- Cholesterol, High
- Globulin, High
- Hypothyroidism
CBC
- Monocytes, High
- Neutrophils, High
- RBC, Low
- WBC, High
Clinical Signs
- Anorexia
- Weakness
Exam Finding
- Pale Mucous Membranes
- Tense Abdomen
Urinalysi
- Bacteria Present
- Casts Present
- Protein Present
- Specific Gravity Abnormal