developing liver shunt from decreased function?

developing liver shunt from decreased function?

12 yr old MN Golden retriever with up and down weight loss/poor appetite requiring homemade diet. Proteinuria and hypertension treated with benazapril. Two previous ultrasounds have shown a stable hyperechoic nodules dorso-lateral to the cystic duct, otherwise unremarkable liver. ALP was in 300’s initially, blood work and UA/UPC has not been repeated in last few…

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