RADIOLOGIST ASSESSMENT  (10:56 am  MAN Valerie Sadler, DVM DACVR/nyc)

02/10/09

Today’s exam is compared with a study dated 01/08/09.

Thorax

Findings: There is partial mineralization of the tracheal rings and proximal bronchial tree, which highlights these structures.  The pulmonary parenchyma is characterized by a very mild uniform increase in interstitial opacity.  Minimal bronchial markings are also noted.  The cardiovascular structures are within normal limits.  There are sites of spondylosis in the thoracic spine.

Impression:  Nonspecific pulmonary parenchymal changes indicative of past or current lower airway disease.  No evidence of pulmonary metastasis or intrathoracic lymphadenopathy.  Degenerative changes, spine.
Relayed the above to Dr. Oberthaler

VS/ljj

t:  02/13/09

ULTRASONOGRAPHY  (11:08 am  QUE Suliman Al-Ghazlat, DVM, DACVIM/que)

ABDOMINAL ULTRASOUND REPORT

Liver:  Slightly hyperechoic but otherwise normal

Gallbladder:  slightly distended and contains  gravity dependent sludge

Right Kidney:  mild decrease in corticomedullary distinction

Left Kidney:  smaller has less defined architecture compared to the right kidney

Urinary Bladder:  Normal

Right Adrenal:  Normal

Left Adrenal:  Normal

Stomach:  Normal

Small Intestine:  Normal

Lymph nodes:  Normal

Peritoneum:  Normal

Spleen:  Normal. There is a large 6 x 6cm complex mass caudal and lateral to the left kidney. Most likely a splenic mass

Colon:  Normal

Pancreas:  Normal
Impression:

Chronic renal disease

Gall bladder sludge

R/O  steroids hepatopathy vs much less likely infiltrative liver disease

R/O Splenic mass: HSA vs other sarcomas or benign splenic tumor vs LSA

Antech ID:130261

Lab:

Antech Diagnostics

1111 Marcus Avenue

Lake Success, NY 11042

Reported: 02/12/09 12:13 PM

Received: 02/11/09

Reference No. NYCA02923531

Cytology

Microscopic Description: 5 slides, left mandibular LN, 8 yr old ridgeback with hx of lymphoma in remission

The smears are thin and cellular with lymphoid cells dispersed on an unstained background. The lymphoid population is heterogeneous, composed mainly of lymphocytes and includes some plasma cells and

lymphoblasts. Lymphoblasts are less than 10% of total lymphoid cells.

Microscopic Findings: Normal or reactive lymph node, no detectable lymphoma infiltrate

Comment: The cytologic pattern is consistent with aspiration of a normal sized lymph node or one enlarged by lymphoid hyperplasia in an immune response.

Julia Blue, DVM, PhD, Diplomate ACVP

Entered by Linda L.

Reference No. NYCA02923541

Cytology

Microscopic Description: 4 slides, splenic mass, 8 yr old ridgeback with hx of lymphoma in remission

The largest smear contains partilcles of red pulp stroma that are heavily loaded with hemosiderin, and blood that is moderately cellular with splenic lymphoid cells. Most of the cells are lymphocytes. Plasma cells and lymphoblasts are present but in low numbers. The other smears are smaller and composed of blood with a

few lymphoid cells and macrophages. None of the smears show an increase in lymphoblasts, or any unusual cells.

Microscopic Findings: Normal splenic stroma and cells

Comment: There is no evidence of lymphoma or other form of neoplasia. The mass is probably hyerplastic nodule or hematoma.

Julia Blue, DVM, PhD, Diplomate ACVP

Entered by Linda L.