Vimago HDVI Exotics Stelluna

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The patient was seen on August 18 2020 by another DVM at the same facility for having small difficult bowel movements and lethargy. X-rays were done and a suspicious soft tissue mass was seen on the caudal dorsal aspect of her abdomen. The patient was prescribed enteric formula containing Reglan, kaolin, pectin, and Spectam and has not improved. The patient has lost 169 grams and appears lethargic and dehydrated. An HDVI scan was recommended to rule out potential mass or neoplasia. The DVM used his Vimago HDVI CT to perform a survey and post-contrast CT of the caudal thorax and abdomen to gather more information.

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CT findings and reports are provided by Peregrine Radiology.

Here is a link to the full radiology report.

Clinical Findings

History & Clinical Signs

Patient was seen on August 18 2020 by another DVM at the same facility for having small difficult bowel movements and lethargy. X-rays were done and a suspicious soft tissue mass was seen on the caudal dorsal aspect of her abdomen. Patient was prescribed enteric formula which contains Reglan, kaolin and pectin, and Spectam and has not improved. Patient has lost 169 grams to this day and appears lethargic and dehydrated. An HDVI scan was recommended to rule out potential mass or neoplasia.

Drugs or Sedation Used

• isofluorane

Date Of Most Recent Images

• 2020-09-21

CT Report Findings

Survey and post contrast CT of the caudal thorax and abdomen

Thorax:

Heart: normal. no evidence of left atrial dilation

Lungs: no alveolar pattern, nodules or mass lesions seen.

Pleural space: Normal

Abdomen:

Liver: Normal size and shape. large poorly perfused focus: 5.3 mm wide in right side, beside the abdominal aorta

Gall bladder: full Stomach: Filled with mild volume gas Left pancreas: appears normal

Spleen: Normal size and shape

Peritoneal detail: mineralized focus in mid abdomen; 5.6 mm wide

Kidneys: Bilaterally irregularly marginated and many cortical cysts bilaterally. No stones seen. Left kidney measures cm long. Right kidney measures cm long

Adrenal glands: Left = 3.5 mm wide, Right = 3.7 mm wide

Duodenum: appears normal

Right pancreas: appears normal

Small Intestines: Mass: thought to be intestinal in origin; 2.5 cm wide, on both sides of an intestinal loop, causes attenuation of that loop.

Jejunal LN: a component of the mass is thought to be the regional LN;s (see arrows above) including the more caudal LN's (probably medial iliac); 8.9 mm wide

Colon: filled with moderate volume normal appearing feces

Urinary Bladder: No stones seen

Retroperitoneal detail: Normal

Medial iliac LN’s:

Lumbar spine: Normal

LS disc space: Normal

Hips: normal appearing

Conclusion

• Mass: possibly primary intestinal carcinoma, lymphoma

• Regional LN metastatic lesions

• Kidneys: CRD

Recommendations

• Mass (primary of presumed LN's) FNA for cytology