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?
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.
Differential Diagnosis
- adrenal neoplasia (carcinoma, pheochromocytoma)
- pulmonary metastatic disease
- hepatomegaly (metastatic disease, metabolic secondary to functional adrenal mass)
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)
Hi, please could you possibly highlight the mass medial to the right kidney, I’m having trouble seeing it!