A 13-year-old SF German Shepherd mix was presented for evaluation of inappropriate urination. Urinalysis showed an inappropriate specific gravity (1.013)
A 13-year-old SF German Shepherd mix was presented for evaluation of inappropriate urination. Urinalysis showed an inappropriate specific gravity (1.013)
Given that minor capsular expansion is present and loss of parenchymal detail is present in a predisposed breed, a recheck ultrasound in 1 week is essential to ensure no growth. Given the sonographic appearance, splenectomy would not be a wrong choice regardless of the cytology results.
Inappropriate urination – bladder disease (neoplasia, uroliths, bacterial cystitis), urethral disease (urethral sphincter incompetence, hormonal/bacterial infection), renal disease (chronic kidney disease).
FNA of the spleen revealed benign hyperplasia.
Benign splenic nodule, potential abscessation or emerging neoplasia. Fine-needle aspirate or splenectomy is highly encouraged. Even though no overt evidence of metastatic disease was noted, liver biopsies would be warranted as well to ensure that multi-centric neoplastic process is not emerging.
The spleen presented a solitary, mixed, hypoechoic nodule that measured 1.8 cm. The nodule appeared to expand upon the capsule, which is suggestive for a relatively aggressive process. These images are consistent with abscessation or emerging neoplasia.
