Findings 影像學(xué)發(fā)現(xiàn)

There is a convex, broad-based soft tissue opacity dorsal to the second and third sternebrae. There is a mild bronchointerstitial pattern throughout the lungs. The pleural space and musculoskeletal structures are normal. Within the abdomen, the stomach wall has an irregular contour with the suggestion of multifocal thickening. There is poor peritoneal detail with a mottled appearance. The cardiovascular structures are normal.

在第2和第3胸骨的背側(cè)，有一個(gè)雙凸面形的、寬基部的軟組織不透明度腫物。

全肺可見(jiàn)輕度支氣管間質(zhì)型。

胸膜腔間隙和肌肉骨骼結(jié)構(gòu)正常。

腹部可以觀察到，胃壁的輪廓不規(guī)則，提示多灶性增厚。

腹膜腔內(nèi)的漿膜細(xì)節(jié)不清晰，呈斑駁狀。

心血管結(jié)構(gòu)正常。

Differential Diagnosis 鑒別診斷

• Sternal lymphadenopathy secondary to abdominal disease (reactive, neopastic)

• Probable gastric masses (neoplasia, granulomatous)

• Peritoneal effusion (transudate, exudate, hemorrhage, neoplasia)

• Bronchointerstitial pattern is nonspecific (infectious or noninfectious inflammatory, neoplastic)

• 繼發(fā)于腹部疾病的胸骨淋巴結(jié)?。ǚ磻?yīng)性、腫瘤性）

• 可能存在胃部腫物（腫瘤，肉芽腫性）

• 腹腔積液（漏出液、滲出液、出血、腫瘤)

• 支氣管間質(zhì)型是非特異性的（感染性或非感染性炎癥性、腫瘤性）

Diagnosis 診斷

• Large cell granular T-cell lymphoma

• On ultrasound examination, multiple masses were identified in the gastric wall, kidney, spleen, and ureter with moderate peritoneal effusion. Necropsy revealed disseminated T-cell lymphoma. The gastric lesions were associated with ulceration, likely causing the vomiting.

• 大細(xì)胞顆粒性T細(xì)胞淋巴瘤

• 超聲檢查發(fā)現(xiàn)胃壁、腎臟、脾臟和輸尿管多發(fā)性腫物，伴有中等量的腹腔積液。

• 尸檢顯示播散性T細(xì)胞淋巴瘤。

• 胃部病變與潰瘍相關(guān)，可能是導(dǎo)致嘔吐的病因。

原文鏈接

https://www.veterinaryradiology.net/5034/1-year-old-labrador-retriever/