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Liver cyst
16 year old Terrier with elevated liver enzymes I suspect this is due to patchy liver parechyma and pancreatitis But there was a large irregular cyst and smaller cyst in right division of liver. How do you know if cyst or cystadenoma or cystadenocarcinoma? Also the hepatic lymph nodes appear cystic, what does this mean?…
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Liver mass
16 year old Terrier with vomiting and inappetance Liver mass and chronic pancreatitis What do you think this mass is and how do you decide if clinically relevant?
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8 month old MI Bernese Mountain Dog with mild azotemia
Referred for an abdominal ultrasound for possible renal dysplasia. rDVM had not run a UA yet, so that is pending, but mild increases in BUN, creat, Phos and SDMA. Kidneys look normal to me other than some mild mineralization at the sinus. I am always nervous about missing renal dysplasia, so would love some conformation…
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Renal pathology in a 5 yr old MN DSH
Anorexia and lethargy. Blood work including Felv/FIV WNL. Mesenteric lymph nodes are prominent at 7 mm thick, but still maintaining oblong shape. Spleen has a lumpy ventral capsule. Would you call this a subcapular hypoechoic rim? Lymphoma as most probable given the spleen changes vs. carcinoma? Owner is going to go forward with FNA’s this…
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21 year old cat, nodule near CVC
21 yo cat. Intermittent decreased appetite. Stage 2 CKD. BSC 4/9. U/S: cysts in kidneys, thickened pancreas. Nothing exciting for a geriatric cat. Completely anechoic 1cm wide by 2cm long oval structure, between the aorta and the CVC on the R side, near R kidney. No blood flow on doppler. Adrenals were WNL. What is…
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Evaluation for laryngeal paralysis
11 yr old MN Collie presented for coughing/gagging. Primary vet’s rule outs included infectious, Laryngeal disease (Laryngeal paralysis), ME, neoplasia). Rads of neck and thorax read by a boarded radiologist showed laryngeal ventricle gas which can be a normal finding or due to laryngeal paralysis. No radiographic evidence of a cervical mass. Normal thorax. Ultrasound of…
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Stomach nodule in dorsal wall.
13 yo F/S Yorkie BSC 8/9. Presented for bloody diarrhea. Hx of pancreatitis. Neutropenia (2.75 < 2.79), leukopenia (5 < 5.05) Severe cholestasis (ALP 1600). ALT 196. Plumb adrenals (L 5.5 R 6.9) Large hyperechoic liver. GB: partially organized sludge, partial mucocele. Big pancreas. Mildly Enlarged mesenteric LN, 6.3mm Stomach: 1.4cm hypoechoic intramural nodule projecting…
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Adrenal mass with vascular invasion
10 yr old Boxer presented with ascites Large right adrenal mass with vascular invasion and distending vena cava to 6cm! What do you think this neoplasia could be?
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PSS
4 month old YST with typical PSS symptoms and BAST What type of portocaval shunt is this please?
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Chronic diaphragmatic hernia vs pulmonary mass
Hemingway is a 14 yr old MN, Chihuahua weighing 5.6#. He is a rescue and has a rear limb amputation from a previous trauma. He is being evaluated for a suspicious area on the thoracic/abdominal radiographs that was concerning for a possible diaphragmatic hernia. RDVM was wondering if there had been a small tear and…