Splenic Torsion & The Sonogram.
Middle aged Great Dane, vomiting, lethargy, recent onset "ADR"..... put on the probe & ask yourself the clinical sonographer's favorite and most useful question, "What does this?." It's another looks-like-neoplasia-but-isn't pathology imaged & cut by Drs. Cerf & Stancel @ Ridgewood V.H., Ridgewood, NJ, USA & interpretation by Dr. Lindquist of SonoPath.com.
Sonogram (Spleen): Angel Solazo
History(Kohmescer): An intact 7-year-old female Great Dane dog presented for a history of vomiting and lethargic over a couple days. At the previous assessment anemia (32.5%), leukocytosis, and ascites was present. On follow up assessment the anemia had worsened ( 27.5%) and the leukocytosis was similar. ECG revealed VPCs. On cursory abdominal ultrasonography ascites and hyperechoic hepatic nodules were evident. The ascitic fluid was quantified as hemabdomen.