"Large ovoid soft tissue mass seen within the cranial, medial and dorsal aspect of the right caudal lung lobe. It measures approximately 6cm by 6cm on the ventral dorsal view. It is approximately 5cm in height on the lateral image. The remainder of the pulmonary parenchyma is otherwise unremarkable. No obvious evidence of lymphadenopathy can be seen. Within the cranial abdomen, the ventral live margin terminates cranial to the costal arch and there is concurrent cranial ventral deviation of the gastric axis, suggestive of mild microhepatica. The remainder of the abdomen is otherwise unremarkable."
"The primary differential diagnosis is neoplasia (primary pulmonary neoplasia). Metastatic disease is felt less likely. Other possible differentials such as pulmonary abscess or granuloma is also an unlikely differential. Mild microhepatica. It is suspected that this likely represents a normal variant for this patient. The presence of atrophy associated with chronic liver disease cannot be entirely excluded."
As far as I could understand because a lot of words were thrown at me, an ultrasound would likely help specify for sure what this is but nobody really has any doubt it's cancer. Prognosis is 4-6 months with "hospice care," a year with chemo. We could see an oncologist to discuss surgery to remove the tumor but vet didn't think that was a very likely option given its location but that the oncologist would be able to know for sure. I already made the decision years ago that I would never do chemo on my dogs because I didn't want to reduce the quality of their life now just to extend it later, but now I'm being told canine chemo isn't really like human chemo. It is, however, $5-10,000. So now do we really have to make a decision based on money?!
I can tell you right now that if that's the case, this will be the biggest fight we've had in 12 years.
I'm having a hard time wrapping my brain around 4-6 months because, apart from his toe and a cough, he's so healthy
! He is bouncy and joyful and just as Roscoeish as ever. Dr. V did say, before we knew for sure what it was, that when I got the results not to pay any attention to the statistics because her patients beat them *all the time* with TCM. So we'll be going back to see her ASAP.