It was probably inevitable, but no less unexpected.
In mid-March we went up to OSU for Stella's pacemaker check. The appointment is to make sure that the thing is operating the way that it should be, that the battery is charged, and that all is generally functioning well. It was good to see Dr. B, Stella's cardiologist. who's just finishing up his residency at the vet school.
We went through the normal routine: weighed in (77 pounds), recited the recent history (she's doing great!), and discussed the testing that they would do during the appointment. Dr. B. asked whether I wanted to have x-rays of the lungs and liver to check the status of those organs vis a vis the cancer. I said I preferred not to know.
So they took Stella for the better part of the morning and early afternoon to test the pacemaker, and during the course of that process took an x-ray to make sure the the thing was where it was supposed to be. (It was.) The x-ray, however, also showed a spot on the lung.
The menace.

This was not what we were hoping to hear, and Dr. B. did everything possible to make sure that what was showing on the x-ray was not an abberation or one of Stella's old lady bumps.
Not an abberation. Not an old lady bump.
Although OSU has an excellent oncology department, the primary oncologist there, Dr. Bracha, was unavailable to talk about options that afternoon. That was probably all right because we needed some time to absorb the news and think things over.
The thing is - who knows what's happening in the liver? I still don't want to know.