* Lilly is an 8 year old Cavalier King Charles Spaniel that has a history of chronic kidney disease that came in recently with renal numbers that were much worse and with signs of vomiting.

*Pertinent labs: Albumin 2.2 g/dl, BUN 157 mg/dl, Creat 4.1 mg/dl, Phosp 19.2 mg/dl, SDMA 30

  Urinalysis: pH 1.011, 3+ Blood, pH 5, 2-5 WBC/HPF, RBC 10-15/HPF, Moderate bacteria (urine MIC started), No crystals noted.

  CBC: Low RBC numbers: RBC 5.12, HGB 9.2, HCT 28.4- non regenerative anemia, mild monocytosis.

* Lilly is an 8 year old Cavalier King Charles Spaniel that has a history of chronic kidney disease that came in recently with renal numbers that were much worse and with signs of vomiting.

*Pertinent labs: Albumin 2.2 g/dl, BUN 157 mg/dl, Creat 4.1 mg/dl, Phosp 19.2 mg/dl, SDMA 30

  Urinalysis: pH 1.011, 3+ Blood, pH 5, 2-5 WBC/HPF, RBC 10-15/HPF, Moderate bacteria (urine MIC started), No crystals noted.

  CBC: Low RBC numbers: RBC 5.12, HGB 9.2, HCT 28.4- non regenerative anemia, mild monocytosis.

* Currently on IV fluids, enrofloxacin and SQ Cerenia

My questions:

I suspect we are dealing with Renal Dysplasia here. I was wondering if I can get some feedback on the morphological appearance of these kidneys.

Lilly is normo-tensive 

Thanks