3/3/2026

It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.

3/3/2026

[DVM Intake] DVM Intake Exam Estimated age: 9yrs based on dentition/conformation Microchip noted on intake? scans negative History: Stray; found outside and transported by NYPD Subjective: BAR Observed Behavior - calm, leans in for pets, very food-motivated Is there evidence of suspected cruelty? no Objective: P = 110 R = 24 BCS 4/9 EENT: nuclear sclerosis OU with mild serous discharge OU, ears clean, no nasal discharge noted Oral Exam: Adult dentition, diffuse staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FI; no vulvar dc or MGTs MSI: Ambulatory x 4, skin free of parasites, dorsal muscle wasting, right tarsal mass (approx. 1.5 inch diameter)- firm with ulcerated surface and bleeds easily, tremor in left hind leg, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment: Geriatric FI canine mass r. tarsus (r/o malignant vs benign) tremor LHL (r/o degenerative myelopathy vs other) Prognosis: good pending further diagnostics Plan: intake tasks CBC/Chem/T4 to idexx Aspirate of mass (x) large amount of blood, was able to get impression smear of ulcerated side of mass - stained and examined in-house and appears to have inflammatory cells as well as round cells with mitotic figures- rec send out for cytology Start gabapentin 15-20mg/kg PO BID for pain related to mass Pending lab work, consider additional work-up including radiographs and biopsy DVM recheck in 24 hours SURGERY: Permanent waiver due to age

3/4/2026

Recheck, bloodwork results S/O: QAR, rises and comes to front when approached, no c/s/v/d noted, no ocular or nasal discharge, eupneic; underweight with diffuse muscle wasting notable. CBC: Hct 38.3 (L), WBC 44.6 (H), neutrophils wnl + bands 0.937 (H), lymphocytes 35.011 (H), monocytes 1.918 (H), platelets 56 (L) *plt clumping noted *Neutrophils appear slightly toxic CHEM: Total protein 7.9 (H), albumin 2.5 (L), globulin 5.4 (H), AG ratio 0.5 (L) T4: wnl A: Geriatric - suspect underlying chronic disease Severe lymphocytosis - suspect lymphoma vs other Underweight with muscle loss Mass right tarsus P: Seek placement for fospice care, suspect underlying neoplasia Consider EHR if no placement or if patient not clinically well CTM closely on rounds

3/8/2026

recheck, geriatric, R tarsal mass, suspected neoplasia r/o chronic disease S/O BAR, A+A, brought into medical, takes HVT, no c/s/v/d appreciated, rolls over for belly rubs EENT: no ocular or nasal dc, nuclear sclerosis HL: eupneic PLN: submandibular and popliteal mild lymphadenpathy - p resents palpation of submandibular LN MSI: amb x 4, R ulcerated mass approx the size of baseball extending off the lateral aspect of the R tarsus A. mild lymphadenopathy with H lymphocytes r/o reactive vs neoplasia (lymphoma) Tarsal mass - ulcerated r/o benign vs neoplasia Geriatric - suspected underlying disease P. Con't with current treatments Seek placement asap or fospice CTM and recheck in 1 week- rec weekly rechecks while in care to ensure not declining

3/10/2026

Tarsal mass cytology results from lab: Overall: inconclusive INTERPRETATION: Compatible with septic suppurative inflammation, limited sample COMMENTS: The appearance of the specimen could fit with an abscess. However, since it was obtained by impression smear, it may represent the surface of the lesion only (secondary processes such as ulceration an opportunistic infection from skin commensal an entire mental organisms). Impression smears may not be entirely representative of the deeper phenomenon within the lesion, for example underlying (poorly exfoliative) neoplasms. P. Lab recommends attempt at FNA instead of impression smear d/t degree of vascularization. Per lab: "If clinical impression suggests a well-vascularised or inherently haemorrhagic lesion, a non-aspiration or woodpecker technique may be appropriate to reduce sample blood contamination." Overall per lab rec that precise/definitive tissue dx would likely require surgical biopsy with histopath. *Recheck as scheduled. Consider sending of FNA as described above by lab if p allows for unsedated. CTM while at QACC and seek placement

Upon intake Lindor was very friendly with counselors allowing all handling such as scanning for microchip, collaring and walking back for vaccinations. Lindor then entered her kennel without any concerns. All done without concerns.