bilateral very enlarged and irregular adrenal glands
11 yr FS Mixed breed dog – per owner not PUPD, but persistent elevations in ALP and amylase/lipase + proteinuria and borderline hypertension. These adrenals look so irregular – is pituitary dependent hyperadrenocorticism still most likely? ACTH stim pending.
BPH vs. prostatitis in an 8 month old MI Bernese Mountain dog?
This pup initially was passing sticks he had eaten and was crying during defecation. He no longer has access to sticks, but continues to cry during/after defecation most times (bowel movements now soft). Has been going on several weeks. Only ultrasound abnormality was his prostate was very hyperechoic. It was homogenous, no cystic regions and…
linear foreign body in ileum?
4.5 month old MI Golden vomiting for 2 days, still wants to eat. Diarrhea with small amount of blood. Has been dewormed and fully vaccinated. Toddler in home. Corrugated ileum, thickened. Not 100% convinced there is linear material within the lumen. Rest of bowel looks ok other than thickened, empty descending colon. There is a…
residual ectopic ureter?
9 year old FS Husky mix current UTI and non-regenerative disease. Unremarkable ultrasound other than finding this distended left ureter. Was thinking it is an ectopic ureter, but pcDVM later found out pet has had surgery for this with the ureter having been attached to the lateral blad wall. I would love some input on…
renal dysplasia in a 7 month old Golden?
7 month old FI Golden without clinical symptoms. Pre-spay blood work showed mild anemia, Bun 43, creat 1.5, K 5.5, SpG on first morning sample 1.014. Kidneys did not look concerning to me, but would love your input and also recommendations on what you would do next for this adorable pup.
retained placenta vs. metritis
4 year old FI Dachshund 4th litter 4 days prior. Presented for tachypnea. Day after whelping vomiting. Started on antibiotics for suspected metritis (CSU report says fluid in uterus on AFAST). Day 4 BW – severe thrombocytopenia, normal WBCs, PCV/TP 30/5.4, albumin 1.4. Thoracic rads – unstructured interstitial to alveolar pattern, suspected pneumonia or hemorrhage….
hyperechoic enlarged kidneys
10 yr FS DSH with diarrhea and mild azotemia. Ultrasound a few months ago showed plump mesenteric lymph nodes and mild kidney enlargement with hyperechoic cortices. The kidneys have increased in size on today’s exam and are both 4.8/4.9 cm in diameter. What differentials should I be including?
‘Fluffy’ hyperechoic splenic nodules
13 year old FS Setter mix with suspected hyperadrenocorticism – enlarged adrenals and liver as well as polydipsia and coat issues. Has also developed diarrhea responsive to GI Biome diet and appetite is decreased with mild weight loss. These splenic nodules look more fluffy that I would expect with myelolipomas. Also wondering if you think…
severe weight loss over several months, progressing hyporexia, acute vomiting and diarrhea
12 yr FS American Bulldog with several month hx of weight loss. In April, an ultrasound showed significant stomach wall thickening and blood work ALT in 800’s, albumin 1.9. Current blood work, albumin 2, ALT 125, T bili 0.7. On ultrasound today, liver looked normal. Wondering about mild jejunal mucosal fogging and muscularis thickening as…
developing liver shunt from decreased function?
12 yr old MN Golden retriever with up and down weight loss/poor appetite requiring homemade diet. Proteinuria and hypertension treated with benazapril. Two previous ultrasounds have shown a stable hyperechoic nodules dorso-lateral to the cystic duct, otherwise unremarkable liver. ALP was in 300’s initially, blood work and UA/UPC has not been repeated in last few…