- 1 year old mn DSH indoor only cat presented for lethargy, significant weight loss (3 lbs) and PU/PD
- Renovations are being done on the house but there is no known exposure to toxins
- Labwork showed mild azotemia with isosthenuria (will add lab values to post shortly)
- Radiographs showed bilateral renomegaly
- U/A showed quiet sediment-urine culture is pending
- 1 year old mn DSH indoor only cat presented for lethargy, significant weight loss (3 lbs) and PU/PD
- Renovations are being done on the house but there is no known exposure to toxins
- Labwork showed mild azotemia with isosthenuria (will add lab values to post shortly)
- Radiographs showed bilateral renomegaly
- U/A showed quiet sediment-urine culture is pending
- Abdominal US shows left renomegaly with pyelectasia, increased echogenicity (nonshadowing) at the renal pelvis , variable renal cortical echogenicity, and reactive perirenal fat. The right kidney is also borderline enlarged but has more normal structure.
- My initial differentials prior to scanning were FIP and juvenile LSA but now I am wondering about pyelonephritis and possible renolithiasis although the echogenic densities don’t shadow and are not visible on radiographs.
- What do you think?
Comments
Looks like there are stones
Looks like there are stones in the pelvis maybe moved a stone? the cortex is a bit patchy. I would 25 g fna the cortex and ensure not lsa and look for granulomartous (fip) but also pyelocentesis and cutlure the renal pelvis. Tx ARF in the meantime til cyto comes back. If pyelo even wiht washout should have some sort of inflammatory sediment in the urine but may be minor owing to the washout factor of isosthenuria.
Looks like there are stones
Looks like there are stones in the pelvis maybe moved a stone? the cortex is a bit patchy. I would 25 g fna the cortex and ensure not lsa and look for granulomartous (fip) but also pyelocentesis and cutlure the renal pelvis. Tx ARF in the meantime til cyto comes back. If pyelo even wiht washout should have some sort of inflammatory sediment in the urine but may be minor owing to the washout factor of isosthenuria.
Ok, thanks!
Ok, thanks!
Ok, thanks!
Ok, thanks!
Ok, thanks!
Ok, thanks!
Ok, thanks!
Ok, thanks!