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cholelith

cholelith

8 year old FS Aussie.  Blood work has shown elevated liver values – 3/30= ALP 201, ALT 726, T bili 0.3.  4/8 ALP 234, ALT 623, T bili 0.7.  4/22=ALP 222, ALT 406, T bili 0.7, T bili unconjugated 0.4 (0-0.2), T bili conjugated 0.3 (0-0.1).  Has been on ursodiol and amoxicillin since the 8th. …

suspected feline bladder polyp and uroliths

11 yr old FS DSH w/ persistent hematuria, proteinuria and calcium oxylate crystals.  Area of mineralization seen on radiographs.  Did traumatic catheterization of poly like thickening in bladder wall.  Hyperechoic debris appears more urolith-like post aggitation w/ catheterization but did not become gravity dependent as evidence from standing views.  Awaiting cytology results, but main question…

suspected feline bladder polyp and uroliths

11 yr old FS DSH w/ persistent hematuria, proteinuria and calcium oxylate crystals.  Area of mineralization seen on radiographs.  Did traumatic catheterization of poly like thickening in bladder wall.  Hyperechoic debris appears more urolith-like post aggitation w/ catheterization but did not become gravity dependent as evidence from standing views.  Awaiting cytology results, but main question…

lumpy kidneys with regolith

7 yr. FS cat w/ renal azotemia (moderate) and UTI.  Shadowing of pelvis bilaterally and both kidneys have a 2.5 mm renolith, but not seeing evidence of ureteral obstruction.  Renal pelvis and proximal ureters both at high end of normal (2 mm).  Wondering about the corex parenchym appearing so lumpy and sectional -mostly hypoechoic w/…

lumpy kidneys with regolith

7 yr. FS cat w/ renal azotemia (moderate) and UTI.  Shadowing of pelvis bilaterally and both kidneys have a 2.5 mm renolith, but not seeing evidence of ureteral obstruction.  Renal pelvis and proximal ureters both at high end of normal (2 mm).  Wondering about the corex parenchym appearing so lumpy and sectional -mostly hypoechoic w/…

liver nodule

11 yr MN Cocker, ALT 180, ALP 274, rest WNL, no symptoms.  Owner wants to wait on aspirate, so just wondering your impression of the 3 x 1.5 cm lesion in the right middle liver (not distorting the capsule).  Tried to use PD and adjust PRF, but getting a lot of noise.  Because of the…

liver nodule

11 yr MN Cocker, ALT 180, ALP 274, rest WNL, no symptoms.  Owner wants to wait on aspirate, so just wondering your impression of the 3 x 1.5 cm lesion in the right middle liver (not distorting the capsule).  Tried to use PD and adjust PRF, but getting a lot of noise.  Because of the…

inguinal hematoma post neuter?

-Duke, 1 year 2 mo old, was neutered 4/1, developed firm inguinal swelling over next 2 days.  -Firmess improved w/ hyperbaric O2, but then continued and is bigger in size, but less painful to patient.  Some ventral edema settling in limb, w/ distal toes still warm to touch.  -Today, the swelling has what feels like…

inguinal hematoma post neuter?

-Duke, 1 year 2 mo old, was neutered 4/1, developed firm inguinal swelling over next 2 days.  -Firmess improved w/ hyperbaric O2, but then continued and is bigger in size, but less painful to patient.  Some ventral edema settling in limb, w/ distal toes still warm to touch.  -Today, the swelling has what feels like…

right auricular mass?

11 year old FS Aussie presented for collapsing on a walk yesterday.  I struggle with saying yes or no to a right auricular mass in cases like this that don’t have an obvious, cavitated mass.   I am seeing what looks like fibrin coming off the auricle, but at the junction between the atria and…