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.– 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-year old FS Labrador“Dutchess”

• Hx: Vomitting for 1½ days. Her abdomen is tense.

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

10-year old MN Beagle“Sidney”

• Hx: Two week history of vomiting, improved now.

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

10-year old MN DSH“Tiger”

• Hx: Presented for evaluation of chronic intermittent vomiting.

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.

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-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

8-year old Cocker Spaniel “Scottie”

• Hx: Presented because of enlarging abdomen. Has episodes of intermittent weakness.

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