I was hoping to get some feedback on this case.

Buddy is a 10 year old female Cocker spaniel with a long history.

The main lab abnormality is a severe thrombocytopenia (17,000 platelets). The albumin is slightly low at 2.4.

I am just now trying to do the 17 step SDEP protocol and just getting used to R sided recumbancy. That being said I did an ultrasound on Buddy and the only real abnormality I noted was in the region of the R pancreatic horn.

I was hoping to get some feedback on this case.

Buddy is a 10 year old female Cocker spaniel with a long history.

The main lab abnormality is a severe thrombocytopenia (17,000 platelets). The albumin is slightly low at 2.4.

I am just now trying to do the 17 step SDEP protocol and just getting used to R sided recumbancy. That being said I did an ultrasound on Buddy and the only real abnormality I noted was in the region of the R pancreatic horn.

I am posting a few cine loops of this area and I was wondering if I could get some feedback on the pathology noted.

1. Is this the R horn of the pancreas?

2. How should I approach this if there is pathology there

I did see the striations in the duodenum. I was able to view the duodenal papilla and did not see an issue in that region.

Note: at the time of the ultrasound Buddy had been on Prednisone for 1 week and now his platelet count is over 600,000.

There is now a leukocytosis with a left shift. No fever. WBC count is over 32,000.