Case Index - October 2003 - Case of the Month.
Click on an image for a larger view and scroll down to the bottom for the final answer.
Spots: 14 year old, Male, Castrated, Cocker Spaniel
History: Previously diagnosed with Addison's Disease and started on predisone. Seizures were controled with phenobarbital.
Presented with mildly elevated liver enzymes and hypoalbuminemia, elevated bile acids, increasing lethargy.
One image is provided of a mixed echoic mass in the tail of the spleen.
List Differentials (Scroll to bottom for answer)
Answer:
Nodular Hyperplasia
It is difficult to differentiate benign from malignant diseases in the liver and spleen. In this case a partial splenectomy was performed for the diagnosis
(no reference available-needs research!)
Are we any closer to the final diagnosis? (wait until November!)
