welcome to this first opinion veterinary ultrasound case this case was a border collie who was eight years old malnuted with a history of diarrhea so on this ultrasound scan we can see the spleen at the top of the image so we've got the cranial part of the abdomen here we've got stomach and then we've got spleen at the top here and we can see the splenic head and here we've got the splenic body with this this mass in it so this mass is heterogeneous um and quite large and we can also see another Mass here which is uh intra-abdominal it's not actually connected to the spleen the reason there's so much movement is because um the dog was panting so that can be a real obstruction to ultrasound and ideally we would sedate a a dog that was panting because this is an indication of stress and discomfort but this dog was um quite um unwell and the owners were very nervous and didn't want to have the animal sedated so we were doing a less than optimal ultrasound scan but still getting useful information so here's a still image of that splenic Mass so we can see the mass here and we can see normal spleen in this area here and so this mass is heterogeneous so it's not just purely hypoechoic or hypochoic there's a mixture of echogenicities within it and it's quite large so this scale goes down to 7.2 centimeters and we can see that it's taking up a large portion of the screen there so going back to another moving image we can see this one Mass on the spleen and then a very similar looking mass in chordal to it but not attached to the spleen so here's that other Mass there and then the splenic Mass so the splenic Mass here clearly attached to the spleen and the mass chordal to it that's not attached to the spleen but looks very similar so here we can see that Mass on the spleen is measuring it just under four and a half centimeters so quite a large mass for this spleen now we're just looking at this Mass that's caudal in the abdomen so you can see it's got a very similar echogenicity um I would be concerned that this is a metastases and that these two masses are linked um if we've just got the one mass in the spleen then there's a very long differential diagnosis list but having a separate mass in the abdomen does make it likely that these two masses are related and again just looking at that about myself here we've got the kidney for for proportion you can see how enormous this abdominal mass is so in this case we found one large heterogeneous mass in the spleen and one smaller mass in the spleen also and separately to that we found a large abdominal Mass potentially a lymph node in the abdomen we found a small amount of sludge in the gallbladder as well in incidental finding this dog went on to have a splenectomy and chemotherapy for lymphoma and a recent follow-up scan there was nothing abnormal detected so it appears to have been Curative foreign
