– 6 year old MN Weiremeraner presented on the weekend for non-productive retching, straining urinate and blood in the urine

– U/A showed RBC’s and WBC’s, no crystals ; culture was not performed; rDVM started Baytril

– abdominal rads unremarkable (I have recommended chest rads)

– bloodwork showed only a mild neutrophilia, liver enzymes normal, BUN slightly low

– pet now anorexic and has a fever 41C; no more dysuria seen but still retching

– 6 year old MN Weiremeraner presented on the weekend for non-productive retching, straining urinate and blood in the urine

– U/A showed RBC’s and WBC’s, no crystals ; culture was not performed; rDVM started Baytril

– abdominal rads unremarkable (I have recommended chest rads)

– bloodwork showed only a mild neutrophilia, liver enzymes normal, BUN slightly low

– pet now anorexic and has a fever 41C; no more dysuria seen but still retching

– u/s ub small and intrapelvic but no lesions seen in the trigone/prox urethra – prostate could not be seen but I think if it were enlarged I would see part of it and it would have also looked big on x-ray; medial iliac LN’s not seen; kidneys normal

– GI, stomach, pylorus normal

– no stones seen in the distal urethra scanned through the prepuce

The liver looks diffusely hypoechoic to me with prominent portal markings. It is hypoechoic to the falciform fat, spleen and renal cortices. It does not appear to be enlarged. In light of normal liver enzymes, what is this significance if any? Differentials would be congestion, acute hepatitis, possible lymphoma but I think unlikely. The dog was under dexdomitor/butorphanol sedation – could this cause some passive  liver congestion. The blood in the CVC showed some smoke and swirling during the exam which I have seen under dexdomitor sedation before.