The liver images from right and left intercostal as well as subcostal views revealed subjectively normal liversize, contour, and structure. Parenchymal echogenicity was naturally coarse and hypoechoic to the spleen. Vascular and biliary tracts were of normal volume and no evidence of congestion was noted. The gallbladder was severely dilated at 5.0 cm with an ill defined wall, regional inflammation and localized free fluid. This is consistent with ruptured gallbladder mucocele. Immediate supportive care and staging for surgery is recommended. Partial collapse was noted owing to leakage. Regional peritonitis was noted throughout the cranial abdomen. The common bile duct was enveloped by reactive surrounding and therefore could not be evaluated. However, it should be flushed at the time of surgery.

The bladder in this patient was mildly thickened with slight echogenic mural changes. A slight amount of sand was noted.  Slight micropolypoid changes were noted. This is a frequent finding in older animals and may be linked to a history of chronic urinary tract infection or active urinary tract infection. Urinalysis would be recommended with culture if any evidence of inflammatory sediment is present. The region of the trigone and visible pelvic urethra were normal.