Perforating GB?
– 12 yr old FS Pomerarian – vomting, anorexia, lethargy – increased liver enymes, WBC – ultrasound shows hyperechoic reactive tissue around the periphery of the GB – positive Murphy sign – I’m pretty sure this is a perforating GB mucocele but not a classic kiwi-fruit presentation? – I have recommended that this pet be…
Hyperechoic Liver
– 7 year old MN Collie scheduled for an orthopedic procedure – pre-op bloodwork showed elevated ALP/ALT and mild elevation on pre/post bile acids – pet is clinically normal – liver diffusely hyperechoic, lacks portal markings (isoechoic to the spleen, hyperechoic to falciform fat) – liver biopsy recommended ddx: steroid or vacuolar hepatopathy, CAH, neoplasia…