Case of the week 2.21.22
Publication Date: 2022-02-01
History
10 year old female cat. Presented for anemia
3 images
Findings
Orthogonal radiographs of the abdomen are available for interpretation.
The abdominal detail is within normal limits.
The spleen is severely enlarged and slightly irregularly marginated on all 3 views. Equivocal hepatomegaly.
The left kidney is mildly irregularly marginated. The right kidney is smaller than the left kidney and also has blunt margination.
On the left lateral projection, ventral to the colon in the mid abdomen there is the impression of soft tissue mass. However this is not correlated on any other projection and is likely to represent summation artifact of normal abdominal content.
Diagnosis
Severe splenomegaly. This is concerning for underlying infiltrative disease such as lymphoma.
Bilateral chronic kidney disease.
Equivocal hepatomegaly. Underlying infiltrative disease cannot be ruled out.
The impression of a soft tissue mass on the left lateral projection in the midabdomen is likely artifactual in nature; however, underlying mesenteric lymphadenopathy cannot be totally excluded.
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