Daisy Burroughs

PATIENT: Daisy Burroughs

HISTORY: polyphagic, restless, vomiting, bloods normal except T4 top end of normal range, palpable cranial abdominal mass

Abdominal U/S

SUMMARY:

The appearance of the spleen is highly sugegstive of infiltrative disease such as lymphoma; although benign change is possible it would not normally cause this degree of enlargement or margin distortion.  Guided FNA is feasible if required.  Sampling of the liver and free abdominal fluid would also be advisable.  The symptoms are likely to be related to gastric compression by the enlarged spleen

LIVER: Abnormal: mild hepatomegaly, regular margins, mild diffuse hypoechogenicity

BILIARY TRACT: Normal

SPLEEN: Abnormal: marked splenomegaly, margins irregular, parenchyma markedly hypoechoic and coarse echotexture

LEFT KIDNEY: Normal cortical hyperechogenicity and speckling, reduced cm definition, length normal at 3.6cm

RIGHT KIDNEY: Abnormal: as above except length reduced at 2.8cm

LEFT ADRENAL: Not visualised

RIGHT ADRENAL: Not visualised

URINARY BLADDER: Normal

ILIOSACRAL LYMPH NODES: Normal

VISCERAL LYMPH NODES: Normal

STOMACH: Normal although displaced caudally by the spleen which extends cranial to it

SMALL INTESTINES: Normal thickness <0.25cm, layering unremarkable

LARGE INTESTINES: Normal

PANCREAS: Normal isoechoic to surrounding mesentry

GENITAL TRACT: Not applicable

Echocardiography

Not Applicable.

U/S Guided Samples: Results

Not Applicable.

ECG
Not Applicable.

Endoscopy
Not Applicable.

Other

Not Applicable

Leave a Reply