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Radiology Package 33

Radiology Package 33. Pancreas. 3-year old Sheltie “Lucy”. Hx: Presented for vomiting. Blood work is pending. Her abdomen is tense, maybe painful. . 3-year old Sheltie “Lucy”. RF There is localized loss of abdominal detail associated with the cranial abdomen.

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Radiology Package 33

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  1. Radiology Package 33 Pancreas

  2. 3-year old Sheltie“Lucy” • Hx: Presented for vomiting. Blood work is pending. Her abdomen is tense, maybe painful.

  3. 3-year old Sheltie“Lucy” • RF • There is localized loss of abdominal detail associated with the cranial abdomen. • Five large radiopaque urinary cystic calculi are present. • RD • Loss of abdominal detail • 5 cystic calculi • R/O • Pancreatitis • Carcinomatosis • Peritonitis • Next • Abdominal ultrasound

  4. 4-year old FS Labrador“Dutchess” • Hx: Vomitting for 1½ days. Her abdomen is tense.

  5. 4-year old FS Labrador“Dutchess” • RF • Increased soft tissue opacity caudal to the stomach. • Diminished serosal detail between the pylorus, liver and spleen. • Displacement of the gastric axis to the left by an increase in soft tissue opacity in the right cranial abdominal quadrant. • Duodenum is displaced against the right lateral abdominal wall, best seen with a hot-light. • RD • Decreased abdominal detail in the cranial abdomen • R/O • Pancreatitis • Carcinomatosis • Peritonitis • Next • Abdominal ultrasound

  6. 10-year old MN Beagle“Sidney” • Hx: Two week history of vomiting, improved now.

  7. 10-year old MN Beagle“Sidney” • RF • The ventral margin of the liver is poorly defined and appears rounded. • The stomach is displaced to the left and caudally. • A mass is present in the mid-abdomen adjacent to the stomach and causing caudal and rightward deviation of the transverse colon. • The abdominal detail is diminished caudal to the stomach. • RD • Hepatomegaly • Mass lesion caudal to the right of the stomach • R/O • Pancreatic mass • Next • Abdominal ultrasound

  8. 10-year old MN DSH“Tiger” • Hx: Presented for evaluation of chronic intermittent vomiting.

  9. 10-year old MN DSH“Tiger” • RF • The liver is mildly enlarged and has slight rounding of its ventral margin. • The stomach contains granular material. • The majority of the small intestinal structures and the transverse colon are displaced caudoventrally. • A lobulated mass of soft tissue opacity is present caudal to the stomach. • Enlargement of the cardiac silhouette is suspected. • RD • Mild hepatomegaly • Cranial abdominal mass causing displacement of the stomach and intestinal structures • R/O • Pancreatic tumor • Next • Abdominal ultrasound.

  10. 11-year old FS Mixed Breed dog“Sunshine” • Hx: Presented because of 1½ days of vomiting. The dog is depressed with a temperature of 39.8C and the abdomen is tender to palpation.

  11. 11-year old FS Mixed Breed dog“Sunshine” • RF • In the lateral view a portion of the spleen is visible caudal to the liver, a rounded area is seen. • There is marked loss of abdominal detail seen behind the stomach in the lateral view and in the right cranial abdominal quadrant in the VD view. • The body of the stomach is curved and appears to be pushed cranially. • The small intestines and transverse colon is displaced caudally. • RD • Splenic nodule • Pancreatitis/pancreatic mass

  12. 8-year old Cocker Spaniel “Scottie” • Hx: Presented because of enlarging abdomen. Has episodes of intermittent weakness.

  13. 8-year old Cocker Spaniel “Scottie” • RF • Large, homogenous soft tissue mass origination from the right side of the liver. • Another liver lobe extends beyond the costal arch. • There is mild cranial displacement/distortion of the stomach. • Overall serosal detail is ok, but there is wispy areas of possible fluid just ventral to the mass. • There is a vestigial/hypoplastic left 13th rib. • RD • Large left-sided liver mass • R/O • Benign neoplasia • Malignant neoplasia • Next • Ultrasound and biopsy

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