Hemangioma in a 10-year old MN DSH Cat: Our Case Of the Month November 2020
Out of the box thinking, dedication, and the right imaging tools solve this puzzle. Thank you to SonoPath's own Shari Reffi, CVT, SDEP® certified clinical sonographer for navigating through this rather interesting case with her diagnostic images set. Great job by Dr. Summers and her caring team at Blairstown Animal Hospital for managing this sweet cat's case. US interpretation by Eric Lindquist, DMV, DABVP, Cert. IVUSS and CT interpretation done by Nele Eley, DVM Dr. med. Vet. DipECVDI.
The patient presented for ADR and hiding which was worsening over time. Blood chemistry, CBC, and urinalysis were both unremarkable. The caudal lumbar area of the patient was uncomfortable upon palpation. Radiographs revealed fused tail vertebrae, enlarged heart, and a mass effect in the chest. A double cavity ultrasound was performed and findings confirmed fused kidneys (which had previously been diagnosed) and a pericardial diaphragmatic hernia was noted. Falciform fat was in the pericardial space. The heart did not appear to be dysfunctional owing to this congenital defect. Due to splenic enlargement FNA of the spleen was recommended.
A few weeks later the patient's clinical signs worsened again. Despite treatment with pain medication, cortisone and antibiotics the patient presented again with dull mentation and not wanting to walk. Upon examination no ataxia or nystagmus was noted but the patient was squinting; there was concern for CNS disease. A CT study was performed at Blairstown Animal Hospital.
Ultrasound: Stable pericardial diaphragmatic hernia, no cardiac dysfunction, congenital renal fusion with mild to moderate degenerative changes, and enlarged spleen.
CT: Extra-axial intercranial neoplasia with severe mass effect onto the ventricular system, cerebral hemispheres, diencephalon, and cerebellum. Foraminal herniation of the cerebellum. Right otitis externa.
CT was performed onsite at Blairstown Animal Hospital. If you are interested in utilizing their CT services, you can contact them at:908-362-6430 for more information.