–  8 yr old MN Minature Schnauzer w history of waxing and waning hyperglycemia, weight loss and periods of grass eating (picca)

– bloodwork on presentation to rDVM: marked hyperglycemia, ALT 200’s, ALP 2000’s, +ve cPLI, urine SG 1.030, urine pro:cre ratio 1.94  (TP, albumin and other parameters were not run)

– u/s shows a diffusely hyperechoic liver but normal in size, GB normal, hyperechoic renal cortices and trace abdominal effusion

– the pancreas is hyperechoic and maybe a bit larger than normal? There is no evidence of acute pancreatic disease

–  8 yr old MN Minature Schnauzer w history of waxing and waning hyperglycemia, weight loss and periods of grass eating (picca)

– bloodwork on presentation to rDVM: marked hyperglycemia, ALT 200’s, ALP 2000’s, +ve cPLI, urine SG 1.030, urine pro:cre ratio 1.94  (TP, albumin and other parameters were not run)

– u/s shows a diffusely hyperechoic liver but normal in size, GB normal, hyperechoic renal cortices and trace abdominal effusion

– the pancreas is hyperechoic and maybe a bit larger than normal? There is no evidence of acute pancreatic disease

– abdomen does not appear to be painful

Does this look like a chronic or chronic active pancreatitis presentation? Effusion bothers me – maybe from pancreatitis? I have recommended a check of protein levels to rule out a possible PLN.