biliary tree choleliths
5 yr MN KCC with acute vomiting and lethargy, ALT 3000, ALP 719, bile acids WNL. GB looks ok to me. No significant inflammation that I am detecting in the region of the CBD, but is quite distended with a cholelith. Should I assume he is passing these and that is the cause of the…
Mass effect in urinary bladder (trigone)
9 yo F/S Pittbull, straining to urinate, no improvement with AB. No blood. Bloodwork and u/a pending. Hyperechoic 2.5cm mass effect in the trigone and proximal urethra. No blood flow, not shadowing. It almost looks like it’s just in the lumen and not really attached to the ventral wall. What do you think? I couldn’t…