This week’s case is a 7-year-old male neutered Turkish Van (DLH cat) with progressive lethargy and anorexia and an abdominal mass. Post your take on the case!
FindingsOn abdominal radiographs, the liver, spleen, and kidneys are enlarged. There is a moderate amount of feces in his colon consistent with his history of megacolon. There is a gas diated loop of small intestine in the right ventral abdomen that indicates a mild, focal enlargement and possible small intestinal obstruction.
On ultrasound examination, there is hepatomegaly and a small amount of free peritoneal fluid. The liver is hypoechoic (US image 1)*. The spleen is enlarged with a lacy pattern (US image 2). Both the left and right kidneys are markedly enlarged (US images 3 and 5). The left kidney has mild pyelectasia (US image 3) and a small rim of hypoechogenicity (US image 4). There is a small intestinal mass with thickened wall (6 mm) and loss of wall layering in the jejunum (US image 6). Multiple abdominal lymph nodes are enlarged and hypoechoic (US image 7).
* Hover over image thumbnails for image title
- Lymphoma (or other round cell neoplasia)