CT Scans
Case Studies
7 Year Old Yorkie With Cushings
7 Year Old Yorkie suffering from recurrent urinary tract infections and recently diagnosed with Cushing’s (hyperadrenocorticism).


Overview
Signalment and History
Patient is a 7 yr old, MN, Yorkie with diagnosed with hyperadrenocorticism. A CT scan of the abdomen and pituitary gland was requested to differentiate pituitary vs adrenal dependent hyperadrenocorticism.



Diagnostics Prior to HD CT Scan
- Normal liver enzymes; triglycerides 1,163
- ACTH stim: Post > 50
- LDDS: baseline: 11.6, 4 hrs: 11.6, 8 hrs: 10.1
- Urine S.G 1.011
High-Definition CT Scan
Patient was anesthetized and a pre contrast CT scan of the skull was performed. Afterwards, Omnipaque™ (contrast agent) was administered IV and post-contrast studies of the skull and abdomen were acquired.

Pertinent Findings From Our Board-Certified Radiologist's Report
- Bilateral symmetrical enlargement of adrenal glands
- Pituitary Macroadenoma
- CT Scan is consistent with pituitary dependent hyperadrenocorticism

Following the CT Scan
Medical therapy for hyperadrenocorticism and monitoring for CNS signs were recommended




