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< Back Computer Tomography (CT) Scan Case Study #2 金毛尋回犬 Golden Retriever
Golden Retriever, female, 12 years old
Clinical History:
Chronic vomiting. Scan shows small liver, abnormal pancreas. Tentative diagnosis: Pancreatic mass. Possible megaoesophagus.
Findings:
There is an eccentric mural mass associated with the caudal thoracic esophagus extending to the gastroesophageal junction (cardia). The mass measures approximately 5.8cm x 5cm x 3.8cm (l x w x h) at maximal dimensions. The mass is causing obstruction of the more cranial esophagus, which is gas filled and abnormally distended.
There is failure of opacification of the portal vein, which is also larger than expected, extending from the merge with the splenic vein. The splenic vein is similar in appearance through its common segment and extending throughout the branch to the distal extremity splenic hilus. There is no evidence of intrahepatic portal vein opacification of any branch. Splenic size and attenuation is normal. There is a solitary right hepatic liver nodule identified post contrast that is hypoattenuating and 1cm in diameter. There is severe bilateral hip Degenerative Joint Disease with dysplasia evident.
Conclusion:
Esophageal mural mass. Differential diagnosis: neoplasia vs. granuloma.
Extensive splenic and portal vein thrombosis.
Solitary hepatic nodule. Differential diagnosis: regenerative vs. neoplastic (emerging primary or metastatic disease).
Bilateral hip severe Degenerative Joint Disease.
The abnormal left pancreatic observation on ultrasound is in fact the abnormal splenic vein that lies in close apposition to the left pancreatic lobe in this patient.
*** The above case is for reference only. If you have any questions concerning your pet's condition, please discuss with your veterinarian. ***
The caudal esophageal mass immediately proximal to the cardia (black arrow) is shown (red arrows).
The portal vein (red arrow) and splenic vein (white arrow) segments of the thrombus is shown.
 
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