- Clinical information
- Dyspnoea, lethargy, anaemia.
- Region examined
- Neck, thorax, abdomen, pelvis
- Technical parameters
- 4,010 slices (1 and 2 mm) available: pre- and post-contrast CT images reconstructed with medium- and high-frequency algorithms.Study of diagnostic quality. 3 post-contrast series submitted, corresponding to the late venous and excretory phases. Motion artefacts.
- Findings
Full findings, from neck to spine
NECKAbnormal left superficial cervical lymph node: normal shape, enlarged, hilum absent, homogeneous attenuation, homogeneous enhancement.THORAXTRACHEA AND BRONCHINormal findings.LUNGSMultiple miliary and small nodules of soft tissue attenuation, diffusely throughout the lungs.Right cranial lobe, cranial part of the left cranial lobe: consolidation of the ventral third of the lung parenchyma, air bronchograms.Remaining lung lobes: ground-glass opacity to consolidation with air bronchograms ventrally, and in the right middle lobe also in the central third, diffuse distribution.PLEURANormal pleural space.OESOPHAGUSNormal oesophageal wall and lumen.LYMPH NODESAbnormal left axillary lymph nodes: normal shape, mildly enlarged, hilum absent, homogeneous attenuation, homogeneous enhancement.Abnormal sternal lymph nodes: irregular shape, enlarged, hilum absent, homogeneous attenuation, homogeneous enhancement.One abnormal cranial mediastinal lymph node: normal shape, mildly enlarged, hilum absent, homogeneous attenuation, heterogeneous enhancement.Abnormal tracheobronchial lymph nodes: irregular shape, enlarged, hilum absent, homogeneous attenuation, heterogeneous enhancement.CARDIOVASCULAR SYSTEMNormal.THYMUSNormal.MEDIASTINUMNormal.THORACIC WALL AND DIAPHRAGMNormal findings.ABDOMENLIVER AND BILIARY SYSTEMDiffusely enlarged liver, soft tissue attenuation, homogeneous enhancement, rounded and smooth margins.Gallbladder wall thickened and homogeneously enhancing, with a peripheral rim of fluid attenuation (sandwich appearance), small volume, normal position, mineralised sediment. Common bile duct normal.SPLEENDiffusely enlarged, rounded and smooth margins, normal attenuation, homogeneous enhancement.PANCREASNormal findings.ADRENAL GLANDSNormal findings.URINARY SYSTEMNormal findings.GASTROINTESTINAL TRACTNormal findings.REPRODUCTIVE SYSTEMConsistent with neutering.VASCULAR SYSTEMNormal findings.LYMPH NODESAbnormal hepatic lymph nodes: spherical shape, enlarged, hilum absent, homogeneous attenuation, heterogeneous enhancement.Abnormal splenic lymph nodes: irregular shape, enlarged, hilum absent, homogeneous attenuation, heterogeneous enhancement.Abnormal lumbar aortic and medial iliac lymph nodes: normal shape, mildly enlarged, hilum absent, homogeneous attenuation, heterogeneous enhancement.PERITONEUM/RETROPERITONEUMMultifocal free fluid in the peritoneal cavity.ABDOMINAL WALL AND PERINEAL REGIONNormal findings.PELVISNormal findings.THORACIC LIMBSNormal findings within the field of view.PELVIC LIMBSBilateral osteoproliferation of the femoral heads and acetabula.SPINEMultiple osteoproliferations of the lumbar vertebral bodies, not extending into the neuroforamina or the vertebral canal.Osteoproliferation of the L7-S1 vertebral bodies and narrowing of the right L7-S1 neuroforamen.- Conclusion
- Diffuse hepatomegaly and splenomegaly. Multifocal lymphadenopathy. DDx: lymphoma, systemic infections, extramedullary haematopoiesis (splenomegaly alone may be secondary to anaemia).Gallbladder wall thickening consistent with oedema. DDx: anaphylaxis, cholecystitis, hypoalbuminaemia.Ascites, small volume. DDx: neoplastic, secondary to hepatopathy.Pulmonary consolidation with this distribution is most consistent with pneumonia.Pulmonary ground-glass opacity. DDx: lymphoma, interstitial pneumopathy, pneumonia. These may also result from motion artefacts and/or anaesthesia.INCIDENTAL FINDINGSSpondylosis deformans.DLSS
- Recommendations and notes
- For further assessment, I recommend biopsy and correlation with cytology or histopathology.
Report signed by MVDr. Ladislav Stehlík, Ph.D.









