Another kidney case

Another kidney case

– 11 yr old MN Yorkie with history of v/d, anorexia and abdominal pain – had a past history of suspected pancreatitis – bloodwork: ALP 800’s, ALT and GGT wnl, UREA elevated with normal CRE – elevated K, amylase and lipase, cPLI positive – urine SG 1.015 – GB and cystic duct distended with hyperechoic…

Renal Failure

– older intact male in renal failure – not responding to typical treatment.   His kidneys are significantly hyperechoic (note teaser image compared with liver) with reduced corticomedullary differentiation and mild pyelectasia.  He also incompletely empties his bladder.  I don’t believe his history is consistent with ethylene glycol. What ddx are most likely? Thanks!

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