C09999645 / invoice 10000

CLINICAL HISTORY:Female neutered groodle, age not specified. Lump ventral chest LHSgrowing slightly, lipoma?SLIDES EXAMINED: 2/2, "Chest lump"CYTOLOGICAL DESCRIPTION:The smears are of low to moderate cellularity with scant blood andadequate cell preservation and staining. There are scatteredindividualised and aggregates large polyhedral cells which have a smallperipheralised nucleus and abundant clear cytoplasm (adipocytes). Othernucleated cells or diagnostic material are not present.INTERPRETATION:Aspiration of fatCOMMENT:If the sample is representative of the mass, the findings are suggestiveof a lipoma or lesion with fatty stroma. It should be noted that normalsubcutaneous fat has the same cytologic appearance as a lipoma andinadvertent aspiration of the subcutis adjacent to a separate masslesion is also possible. Suggest continued monitoring with re-evaluationof the mass, either via incisional/excisional biopsy or another FNA, ifthe assessment is inconsistent with the clinical impression, or if thereare changes in size or character.Reported by Dr Emma Gulliver, DACVPThank you for referring to Vetnostics. If you have any queries about thecontents of this report please get in touch: Ph 02 9005 7468.Dr Susan Jaensch Verified by Sue Jaensch Veterinary Pathologistreported above to o- O relieved.

HISTORY Presenting Complaint: RC TT4- Been well - Small growth on ventral chest noted to have gotten slightly biggerEEDDU: wnl no recent changesMeds: Levothyroxine (Forthyron) x 3/4 tablet BID - Last given 9amC-/S-/D-/V-PHYSICAL EXAMINATION Mentation: BAR, a bit silly today Vitals: NADEENT: NADCARDIAC: WNLRESP: NAD**SKIN: ~1cm round fatty feeling SQ mass ventral chest on RIGHT side DIAGNOSTICS 1. In House TT436nmol/LASSESSMENT Mass: slight growth, likely lipoma. Could consider FNA. Hypothyroidism: well controlledCOMMUNICATION - Discussed physical examination findings, differentials/assessment & plan- Owner elected to be called with blood test results - JR STO OTP, advised results PLAN - CONTINUE Forthyron 0.4mg x 3/4 PO BID ongoing - Re-check: + TT4 in 3 months. Sooner if deterioration. JR

T4 normal now, continue w current dosePlan: booked in for 1 mo time to retest (post pill so 4-6 hours to get peak t4) + reassess, if all OK then can push to 3monthly testingO happy w plan