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PSS…again??

Sonopath Forum

This one I’m not sure. Im kind of excited of a gastrocaval shunt but patient doesnt quite fit. It’s an incidental finding.

-7y old, male intact Dachshund with no much syntomatology. On survey X-rays there is opacity in stomach so scan is arranged to investigate.

This one I’m not sure. Im kind of excited of a gastrocaval shunt but patient doesnt quite fit. It’s an incidental finding.

-7y old, male intact Dachshund with no much syntomatology. On survey X-rays there is opacity in stomach so scan is arranged to investigate.

-US: 3cm FB (pebble stone or seed or similar) in antrum. Has been there for at least 2 weeks. NO VOMITING. Liver appeared small on xrays and on scan (decreased distance from GB to diaprhagm-touching it, from stomach to diaphragm, not so obvious on transverse view), spleen enlarged, no discrete lesions. Kidneys 5cm long (6.4kg dog). No lithiasis/mineralization in kidneys nor bladder. When I saw liver I thought of shunt and went to Caudal vena cava for the search. And this is what I got (FB was not helping)

Any ideas? it appears like a short small shunt…the difference in PV diameter is not dramatic. I know the turbulence in CVC can potentially be hepatic veins…but still, I think it fits more with a shunt location than hepatic veins location.

Bile acids are to be done, but I wanted to check first.

Thanks so much in advance.