8yr old Terrier with suspected pancreatitis had these images on a telemed consult I did yesterday. If you look closely this case shows the importance of video versus still image submission. I never ever make a dx on a still image. This is why I created the SDEP protocol  (https://sonopath.com/products/downloadable) (https://sonopath.com/products/ce-events) to maximize the views to get the dx as right as possible more efficiently. If you capture video in 3 seconds and everything around the lesion so you and the interpreter can put the pieces if the puzzle together by following the tissue lines. With still image capture only or mainly its like a bunch of puzzle pieces that do not connect. This is why telemed has historically been plagued by misdx as well as a number of other things but at least the SDEP resolves many of the telemed issues that are out there historically.

This is actually a gastric mural abscess as you follow the gastric wall and see that the serosa encompasses the abscess when the initial still angle showed a “pancreatic abscess.”