Pancreatic nodule or lymph node
12 yo F/S Italian Greyhound 17# Asymptomatic severely elevated liver enzymes. Currently ALT 1786, was 171 last month. ALP was 461 last month. On Thyroxine. 1st u/s last month: large hyperechoic liver with multiple small hypoechoic nodules (3mm-1cm). FNA: vacuolar hepatopathy. Gastritis. Pancreas was thickened with a cavitated 1cm nodule or LN, dorsal to stomach….