Kidneys with micro infarcts (?) and liver mass in a hypertensive, hyperthyroid cat
15 year old MN DSH with blood pressure >200, mildly elevated T4 and Ca with weight loss. Still eating and no vomiting or diarrhea. Could you please give your impression of the kidney and liver?
Emerging mucocele
5 year old terrier mix I have been following with concern for emergoing mucocele. Included are pre and 1 hour post prandial images which show some contraction in the right intercostal view post prandial. Post prandial videos also show the material looks less inspisated, so wondering if best to just continue monitoring? Had never seen…
Shunt hunt on 22 month old Shih Tzu
Surrendered for urinary incontinence. ALT 452, BUN 4, HCT 50 but MCV low. No crystals on UA; pH 8 w/ SpG 1.005-1.025 at different times. No neurologic symptoms specifically noted. Thought I found an area where PV was tortuous extrahepatically, but could not document a shunt on color doppler (lots of sparkles and wondering if…
possible liver mass
13 yr FS DSH recently dx w/ hyperthryoidism. Also has liver enzyme elevations: ALT 132, ALP 230, T bili 3.9. Poor appetite and losing weight. Difficult time scanning region of left pancreas. Seeing mass effect that communicates with dorsal liver and is mostly dorsal to the portal vein, but have some insecurity that it may…
cystic liver, distended CBD, distended pancreatic duct
Cole is a 17 year old MN DSH with a history of CRD and gradual weight loss. He has had elvations in his ALT in the past. An ultrasound in May showed similar changes as today. The liver has cystic changes throughtout and both the common bile duct and pancreatic duct are distended. Today, he…
acute renal failure in 10 week old pup
Vomiting and diarrhea, parvo negative, mild leukocytosis and thrombocytopenia, marked renal azotemia (SpG 1.012, BUN >120, creat 8.5), Ca and Phos>15, T bili 8, ALP > 993, full UA pending. Mild to moderate amount of anechoic effusion. Bright kidneys. Suspecting toxin or Lepto infection as top rule outs (no prior lepto vaccination). Please comment on…
renal changes
10 year old FS Bouvier w/ hyporexia and intermittent vomiting. Renal azotemia – BUN 147, creat 7.9, phos 16, K WNL, HCT 40, SpG 1.016, 3+ protein and 10-20 WBCs w/o bacteria seen on urine cytology. Culture pending. With the mineralization, thinking chronic renal failure most likely, but with the relatively normal size for 65…
biliary tree choleliths
5 yr MN KCC with acute vomiting and lethargy, ALT 3000, ALP 719, bile acids WNL. GB looks ok to me. No significant inflammation that I am detecting in the region of the CBD, but is quite distended with a cholelith. Should I assume he is passing these and that is the cause of the…
chronic diarrhea, prominent portal markings with “bubbles”
11 year old MN Visla with chronic diarrhea and chronic intermittent morning vomiting of bile. The diarrhea is not responsive to Tylan. Has been on a grain free diet for 8 years. The portal markings were the only distinguishable finding on ultrasound. I have never seen the little bubbles in the portal vessels like you…
renal pelvis mineralization
7 yr FS Pug presented as a DKA. Hx of recurrent UTI’s. Would you just classify this as renal pelvis mineralization? Any predisposing factors likely to have led to this? Looking between the shadows, I did not appreciate any proximal ureteral dilation. Please also see her bladder image – mulitple polyp like growths in the…