Time to play again!

Lets start 2018 with the exam performed on Frankie, a 4-year-old male Pit Bull presented for straining to urinate and defecate. He was given 2 weeks of Baytril and his clinical signs resolved. He was scheduled for an internal medicine consultation and an ultrasound was performed. What is the likely diagnosis? What would you recommend?
Send along your thoughts!

 

This entry was posted by Dominique.

10 thoughts on “Time to play again!

  1. Large Prostate with a large cyst on the anterior right side. I assume this is an unneutered male. I would want a UA with a culture/sensitivity, CBC and Profile. A FNA of the cyst with culture would be great but rupture of the cyst would have to considered. If the UA shows the infection, then I would pass on the FNA. Treatment would include neutering, antibiotics for 4-6 weeks minimum with US and clinical resolution before stopping Ab Tx. Young dog for prostatic disease.

    On Thu, Jan 4, 2018 at 7:13 PM, Small Animal Ultrasonography wrote:

    > Dominique posted: “Lets start 2018 with the exam performed on Frankie, a > 4-year-old male Pit Bull presented for straining to urinate and defecate. > He was given 2 weeks of Baytril and his clinical signs resolved. He was > scheduled for an internal medicine consultation and an ” >

    Liked by 1 person

  2. Paraprostatic cyst.Enlarged vessels within both lobes of prostate? Is there change in the prostatic part of urethra? looks bit abnormal? Thank you for this case!

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  3. I would like to find the kidney, because I know the prostate is enlarged and not homogeneous, but there’s a structure that resembles an altered kidney..did he had normal urine? without blood? feveR?

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  4. Severe BPH vs. Prostatitis with a large paraprostatic cyst with probable gravity-dependent hyperechoic blood in the cyst. There are multiple small cysts throughout the prostate that may represent abscesses. I would use ultrasound-guided cavity centesis to drain the cyst for therapeutic benefit as well as culture & sensitivity, collect fine-needle biopsies mostly for culture as the odds of this being neoplasia are very low but cytology will rule-out neoplasia. Then while on antibiotics, castrate with recheck ultrasound in 2 weeks and again at 1 month to monitor whether the cyst needs to be drained again.

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