Images to Case Study No.1


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Case Study N0.1 by
Yvonne McGrotty BVMS, CertSAM, DipECVIM-CA, MRCVS.
Diagnostic Imaging:
A lateral thoracic radiograph was unremarkable. A lateral abdominal radiograph confirmed the extent of the abdominal mass.


Figure 1
The soft tissue mass extended from the diaphragm cranially almost to the level of the bladder. The caudal edge of the mass was irregular and ill defined. The small intestines were being displaced caudally. The renal shadows were not obvious due to the extent of the mass.
A loss of contrast was noted suggestive of abdominal fluid (See Figure 1).


Figure 2
Abdominal ultrasound was performed (See Figure 2). The mass appeared to originate from the liver. The hepatic parenchyma however was markedly abnormal and the mass contained numerous thin-walled cystic structures with anechoic contents. Some of these showed distal acoustic enhancement. Only a very small area of 'normal' hepatic parenchyma was identified.
A moderate volume of free abdominal fluid was present. The right kidney was found to contain several anechoic cysts in the cortex. The stomach and the left kidney could not be identified.

HISTORY

INVESTIGATION

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DISCUSSION

DIAGNOSIS

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