Following the common bile duct,,,, on the yellow brick rooooaaad :)
I have been asked a lot lately on following the common bile duct. Essentially the ability to image the portal hilus and the CBD to the D-pap is one of those maneuvers that separates big boy scanning from ham and egg scanning. I say this because you don’t want to be the first person of…
LIver Hilus/CBD
Bert is a 16 year old Feline DLH that came in for a recent bout of lethargy and vomiting. Bert had a history of suspected Cholangio-hepatitis in 2012 that resolved with aggressive treatment. Recent blood work indicated an ALT of 400 with normal Alk Ptase, T Bili, GGT. I did a scan of his liver…
Clot Vs Mass in Pericardial Sac, how do you tell the difference?
Hi everyone, 16 year old male neutered Heeler that presented for dyspnea. Ultrasound of the chest revealed bilatera/ pleural effusion as well as pericardial effusion. The Left atrium was subjectively enlarged. Mitral valve was also prolaspe with insufficiency present. There were echogenic structures within the pericardial sac. I could not identify any cardiac masses around…
Icterus
-10 year old FS terrier -history of cholecystectomy 2 years ago due to mucocele -currently diagosed with Cushing’s and PLN -on Vetoryl & enalapril -presented for anorexia and intermittent vomiting -ALT & SAP unable to be read, presumed high -tBili 6.5 -amylase ~2000 -all other bloodwork normal or close to it