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FIP vs. LSA

21 month old male DLH

Presumptive diagnosis of FIP by previous vet

Clinical signs consist of vomiting, constipation, and weight loss

Current labs show hyperglobulinemia, hypoalbuminemia

21 month old male DLH

Presumptive diagnosis of FIP by previous vet

Clinical signs consist of vomiting, constipation, and weight loss

Current labs show hyperglobulinemia, hypoalbuminemia

Abdominal Ultrasound shows bilateral renomegaly, irregular kidney contour with small amounts of perirenal fluid, mild splenomegaly, normal intestinal wall layering with prominent submucosal layer and increased muscularis to mucosal ratio in a few areas.

My primary rule outs are lymphosarcoma and FIP.  Any other thoughts?  Which would be most likely?

Client is considering fna’s to rule out lymphoma.

 

 

 

Electrocute

6 responses to “FIP vs. LSA”

  1. With the subcapsular

    With the subcapsular hypoechoic rim, distorted CM junction and renomegaly and just the odds this is renal lsa til proven otherwise. 25g fna of the cortex will give a monocellular lsa population while fip will give a mixed inflammatory population. Beautiful image set. Attached is a similar renal lsa confirmed.

  2. With the subcapsular

    With the subcapsular hypoechoic rim, distorted CM junction and renomegaly and just the odds this is renal lsa til proven otherwise. 25g fna of the cortex will give a monocellular lsa population while fip will give a mixed inflammatory population. Beautiful image set. Attached is a similar renal lsa confirmed.

  3. First choice would be

    First choice would be lymphoma but as Eric states do a FNA cytology to aid the diagnosis.

  4. First choice would be

    First choice would be lymphoma but as Eric states do a FNA cytology to aid the diagnosis.

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