Teaching and learning about veterinary diagnostic imaging.
This week’s case is a 12-year-old female neutered Shih Tzu with panting, polydipsia, and muscle weakness. What is your interpretation?
[ngg src=”galleries” ids=”333″ exclusions=”1863″ display=”pro_mosaic” ngg_proofing_display=”0″ captions_enabled=”0″ captions_display_sharing=”1″ captions_display_title=”1″ captions_display_description=”1″ captions_animation=”slideup” order_direction=”ASC”]
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.
Adrenal cortical carcinoma
[singlepic id=1863 w= h= float=center]
Nice case, but I need some help; when I first looked at the rad of the right lateral view I thought the liver was small (versus large), and the spleen was the tubular-shaped structure at the ventro-caudal aspect of the liver, but looking at the findings section, I just want to confirm that the tubular-shaped structure is actually part of the liver? Then where is the spleen in the lateral view.
Thanks
Hey there! I believe the spleen can be seen on the left lateral view, caudoventral to that tubular hepatic lobe you’re seeing. I don’t see it in the right lateral view, or the view with the paddle.
Hope that helps!