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