Rising ALT and elevated post bile acids (40) in an asymptomatic patientR/

Rising ALT and elevated post bile acids (40) in an asymptomatic patientR/

11 year old FS Boston Terrier with chronically elevated ALT, ALKP, and Post Bile Acids=40 Patient is asymptomatic Abdominal ultrasound shows a small normal liver with some very slight micronodular changes in the left liver and mild splenomegaly with multiple echogenic foci.  The portal hilus appears normal as do the adrenal glands. The dog is…

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