Oakley is now an 11 yo FS Lab. She presented in November for a splenic mass and suspected metastatic lung nodule. She was asymptomatic at home, other than she had vomited once and not eaten well for a few days. She presented through outpatient ultrasound with Dr. Sepulveda, who identified a splenic mass. Radiographs of the chest were taken, and found one solitary, approximately 2cm mass in the right caudal lung field, but no other changes. While it could have been a spread from the splenic mass, typically, we see more than one nodule, especially at 2cm in size. The owner wanted to give her every chance, so a CT was performed immediately before surgery, where just one nodule was confirmed (see pic – one of pulmonary nodule, one of splenic mass). She was taken to surgery with Dr. MacDougall and her spleen was removed, with biopsy results coming back about a week later as a myelolipoma, which is not cancer! The owner elected at first to monitor the nodule in her chest (in the accessory lung lobe). Radiographs taken about 3 months later showed about 50% increase in this pulmonary nodule, but no additional nodules or changes in her lung. The owner elected to allow Dr. MacDougall to take the lung nodule out via right lateral thoracotomy (removal of accessory lung lobe), and a grade 1 pulmonary carcinoma (removed with clean margins) was found on biopsy. This can potentially spread over time, but her prognosis is good. The owner was thrilled at her second chance at life, since she is in excellent health and still loves to walk, swim, and play. She is one of our perfect patients!
