Hyperechoic, punctate opacitites throughout spleen and cortices in Cushinoid canine
12 year old FS Chihuahua with hx of hyperadrenocorticism, hypertension and proteinuria. Decreased appetite. Meds include benazapril, amlodipine, telmesartan and trilostane. Blood pressure still not controlled. Adrenals bilaterally enlarged and not infiltrating surrounding structures. Planning to recheck ACTH stim and adjust BP meds. Two questions: should we still consider a pheochromocytoma? How would you describe…
ectopic ureters in a 6 year old female Doodle
Recently adopted, was told she was spayed, but no spay scar has been identified. Seeing more uterine tissue than would expect and possible ovarian tissue behind RK (no follicle)-did not include that image. Patient is reportedly not incontinent, but owner did mention she does have accidents when excited to see owner. Male dog was recently…
Suspect glomerulonephritis or interstitial nephritis
10 year old FS Westie. Patient presented for increased respiratory rate. Hx of chronic mucous/sneezing. Rhinoscopy has been performed, but unsure of results. Owner thinks may have had mild pre-existing renal disease, but awaiting records. On pred for neck pain. Rads last night showed a mild leukopenia (4100), renal azotemia (BUN 130, creat 3.7, Phos…
ileocolic cyst?
12 year old MN Chihuahua – couple of weeks of lethargy, anorexia and intermittent vomiting. Distended abdomen. Very bizarre cystic structure that appeared to be coming out of the ileocolic region, but I could not find an obvious mass. It had a rounded cranial end starting just caudal to the stomach and left limb of…
Intermittent vomiting and diarrhea, thickened muscularis layer of stomach
7 year old FS French Bulldog with 4 week hx of intermittent vomiting and diarrhea + weight loss and decreased appetite. I was not given blood work, but was told there was a decrease in serum protein that improved on recheck (assuming albumin, but unsure). She does have some mild muscularis thickening in a couple…
Chronic vomiting and weight loss progressing to anorexia in a 6 year old FS Standard Poodle
3 month history of vomiting at least several times daily, usually associated with food, but timing not consistent. Bowel movements small, but formed. Multiple diets have been tried. Blood work is WNL including an ACTH stim. In last several days, has stopped eating and drinking. Maropitant was started last week and that did subside the…
central renal cyst vs. hydronephrosis?
16 year old FS DLH. Mild azotemia BUN 32, creat 2.2, HCT 25% (anemia seems disproportionate to degree of azotemia). Would you consider the left renal pelvis moderately dilated? No uroliths seen, ureter could be picked up more distally and looked normal. Would you be thinking chronic urolith passage/fibrosis/infection? Then her right kidney has what…
Glossitis in a 10 month old Australian Cattle dog
History: Diagnosed with suppurative glossitis based on oral biopsy. No evidence of fungal or autoimmune disease on biopsy. He was placed on a 7-day course of Clavamox, and his symptoms of lethargy, fever and anorexia resolved. He also had a beta hemolytic strep UTI at 4 months of age. Chemistries have been normal. Initial CBC had…
Inspissated gall bladder in a feline?
16 year old FS DSH, owner concerned she is uncomfortable because her posture is more hunched, mild increase in renal values and SDMA with more marked anemia of 25%. Liver values WNL. Anorexia that improved with some outpatient supportive care. History of hyperthyroidism, controled. I had a difficult time making out the gall bladder in…
gastric foreign body thoughts
12 year old FS Yorkie mix with lethargy and elevated liver values. Hx of urinary issues with inactive sediment. Ultrasound findings included this gastric foreign object that was not obstructive, but may be intermittently landing in the pylorus, as well as thickened urinary bladder wall, hyperechoic gall bladder debris without shadowing or evidence of biliary…