This week’s case is a 12-year-old female neutered Shih Tzu with panting, polydipsia, and muscle weakness. What is your interpretation?
The liver is mildly enlarged and rounded, extending beyond the costal arch. The gastrointestinal tract is normal. There is an oval, peripherally mineralized mass superimposed on the right kidney on the lateral projection, and located cranial and medial to the left kidney on the ventrodorsal projection. Both neutral and compression views of the urinary bladder are available. Small mineral opacities are visible in the bladder lumen. Radiopaque sutures are present in the ventral abdominal wall.
- Left adrenal mass (adenoma, carcinoma, phaeochromocytoma)
- Cystic calculi
- Hepatomegaly most likely due to Cushing’s disease