Case of the week 11.12.18

Adrien-Maxence Hespel

University of Tennessee

veterinary.radiology.mirc@gmail.com

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Publication Date: 2018-11-12

History

11 year old female spayed mixed breed dog. Increased liver enzyme

Quiz

1. How many masses are within the abdominal cavity?

   a	0 :(
   b	1 :-(
   c	2 :-)
   d	3 :-(

Findings

The serosal detail remains normal.

There is focal, caudal deviation of the gastric axis at the level of the pylorus on the lateral projections, and leftward deviation of the stomach on the VD projection.

There is a large, ovoid, fat opacity mass within the left retroperitoneum, measuring approximately 16 L x 9.5 H x 12 W cm, and causing rightward displacement of the left kidney and small intestines. This mass is causing leftward deviation of the left lateral body wall.

The GI tract is otherwise normal. The spleen and urinary bladder remain normal.

Diagnosis

Suspected focal mass of the right liver, causing caudal and leftward displacement of the stomach

The fat opacity mass in the retroperitoneum is most consistent with an intra-abdominal lipoma.

Discussion

The hepatic mass and lipoma were confirmed on ultrasound. The hepatic mass was diagnosed as carcinoma based on FNAs

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