intrahepatic liver shunt 9 months post coil placement
16 mo cryptorchid Husky. This shunt was partially closed with a coil in February and has now developed encephalopathy symptoms again. Owner has not been giving medications (lactulose) or prescription diet consistently. We are restarting lactulose and rx diet and adding metronidazole and setting up a consult with the cardiology service that placed the original…
renal dystrophy, shunt?
2 year old FI Maine Coon with repeatable mild azotemia beginning last year. Thin without GI symptoms. Indoor only. I posted the kidney images earlier in the week, but the case has gone missing. Eric commented need to rule out shunt and that looked more like dystrophy from the uroliths than dysplasia. Trying to get…
ribbon foreign body
Thought I would share this case – young DSH. Went to surgery and removed about 2 feet of ribbon all in the stomach
renal dysplasia, chronic pancreatitis
2 year old FI DSH w/ mild azotemia. Would you classify this as renal dysplasia? Or are the uroliths a larger part of the pathology? Left ureter was prominent until midway to urinary bladder when lost it without evidence of stone present. This cat is thin and also has prominent mesenteric lymph nodes without obvious…
gastric fundus thickening
15y FS Standard Poodle with hx of vomiting bile throughout the day over last 3 weeks. Blood work shows elevated globulins (historic) and UA revealed UTI – has completed a course of antibiotics. Found an area of thickness left ventral fundus through left ICS images + nearby gastric lymph node and inflammation. Inflammation in region…
feline duodenal papilla enlargement/mass
Chronic weight loss and vomiting progressing over last year, 11 year old FS DSH. Spleen was enlarged (extended to urinary bladder, but not thick), multiple loops of jejunum w/ inc. muscularis layer, and duodenal papilla was very enlarged/mass like. FNA’s of thickened lymph nodes and spleen pending w/ sample prepared for spleen flow cytometry if…
urethritis? early neoplasia?
6 year old FS DSH with Enterococcus UTI. Noted very edematous trigone/proximal urethra on intial cysto. Urine appears grossly markedly improved after 2 weeks of antibiotics, repeat urine culture pending. Urethra still has edematous appearance. Considering traumatic catheterization pending culture results. Thoughts?
Hyperechoic infiltrates throughout abdominal organs, suspect mucocele
10 yr FS heeler cross, 1 week anorexia, severe lethargy, acute onset hemorrhagic diarrhea, abdominal pain. Blood work – marked elevated liver enzymes (ALT 800’s, ALP 600’s, T bili normal), mild azotemia. Unfortunately owner declined further workup (no FNA’s). Wondering top rule outs for the hyperechoic infiltrative lesions. This looks like a mucocele getting ready…
Large prostate with non-diagnostic aspirates (debris/necrotic tissue) in MN Maltese
Sorry no pics to post with this one as was on someone elses machine. 10 year old MN Maltese with 2 cm, hypoechoic prostate that containes small hyperechoic areas throughout (non-shadowing) and no cystic/anechoic areas. Mildly irregular capsule. All tissue looked the same. Did FNA and came back as debris. During the aspirates, came out…
acute renal failure in 10 week old kitten
Acute onset vomiting, anorexia and lethargy in 10 wk FI DSH. Blood work revealed BUN>140, creat 9.7, K 9.2, iCa 0.85, HCT 38. Responding well to IV fluids and producing urine. No evidence of ureterolith. Kidneys appear more hyperechoic than spleen, with some loss C-M distinction, but otherwise unremarkable. My understanding is that congenital could…