Today’s case is a 10-year-old female neutered Golden Retriever. Presented for persistent weight loss and disinterest in food.
Findings
A large, rounded, soft tissue mass is present in the ventral aspect of the right middle lung lobe. The aortic arch is prominent and a rounded, soft tissue bulge is present in the left fifth intercostal space in the region of the main pulmonary artery. There is periarticular remodeling of both shoulder joints and mineralization of the left bicipital annular ligament.
Differential Diagnosis
- histiocytic sarcoma
- primary pulmonary neoplasia
Diagnosis
- histiocytic sarcoma (obtained from fine needle aspirate of cutaneous masses)
- multiple mesenteric masses and enlarged lymph nodes were identified on abdominal ultrasound
Discussion
Histiocytic sarcoma has a prediliction for the right middle lung lobe, and is usually airway associated.
Hi Allison. Thanks for this case. I also thought that the aortic arch and MPA looked prominent in this case (but could not decide on the relevance). Was there any follow up of this patient with regards to the heart?
Daniel