Vimago HDVI Exotics Stelluna
Vimago™ 12 Case Types – (Stelluna) Exotics Ferret | Other | 5 years | Spayed, Female | 0.62 kg
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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.
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
Power in Numbers
2020
Submission Year
0.62
Weight (Kg)
5
Age (Yrs)