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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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Adult Cocker Spaniel

July 11, 2016 By Allison Zwingenberger

Today’s case is an adult female neutered Cocker Spaniel with lethargy, polyuria/polydipsia, and weight gain. History of low grade mammary adenocarcinoma that was resected with good margins 1 year previously. Comments?

Show findings...

Findings

The liver is markedly enlarged and is displacing the gastric axis caudally. Just medial to the right kidney there is a soft tissue mass with cranial multifocal mineralization. The mass is visible both on the lateral and the v/d projections. The patient has a pendulous abdomen. There is adequate abdominal serosal detail.

In the portion of the thorax included, there are multiple soft tissue opacity nodules and masses throughout the lungs.

Show differential diagnosis…

Differential Diagnosis

  • adrenal neoplasia (carcinoma, pheochromocytoma)
  • pulmonary metastatic disease
  • hepatomegaly (metastatic disease, metabolic secondary to functional adrenal mass)

Show diagnosis…

Diagnosis

  • Right adrenal neoplasia with caudal vena cava invasion and tumor thrombus
  • Multiple hepatic nodules (presumed metastases)
  • Hyperadrenocorticism
  • Thoracic metastatic disease (adrenal or mammary in origin)

Filed Under: Abdomen, Canine, Case of the Day, Radiographs

Comments

  1. ddhoward says

    July 19, 2016 at 11:29 am

    Hi, please could you possibly highlight the mass medial to the right kidney, I’m having trouble seeing it!

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