Unilateral pyelonephritis?
-4 year old MN Aussie/Catahoula mix -presents for evaluation of recent onset of icterus -mild elevations of ALT, SAP -Hct 28 yesterday (not repeated today) -not azotemic -aside from the kidneys below, all other major organs appeared normal; there is a small hyperechoic “nodule” associated with the jejunal mesentery that I believe is unrelated but…
Unilateral pyelonephritis?
-4 year old MN Aussie/Catahoula mix -presents for evaluation of recent onset of icterus -mild elevations of ALT, SAP -Hct 28 yesterday (not repeated today) -not azotemic -aside from the kidneys below, all other major organs appeared normal; there is a small hyperechoic “nodule” associated with the jejunal mesentery that I believe is unrelated but…
Pedunculated gastric mass?
-11 year old Shih Tzu -presented for evaluation after recent diagnosis of Cushing’s disease -only symptom noted (that prompted the work-up for Cushing’s) is polyphagia -U/S also showed: -cystoliths and thickened apical bladder wall -non-obstructive renoliths -mildly heterogenous right pancreatic limb Is this an incidental gastric mass? Likely…
Pedunculated gastric mass?
-11 year old Shih Tzu -presented for evaluation after recent diagnosis of Cushing’s disease -only symptom noted (that prompted the work-up for Cushing’s) is polyphagia -U/S also showed: -cystoliths and thickened apical bladder wall -non-obstructive renoliths -mildly heterogenous right pancreatic limb Is this an incidental gastric mass? Likely…
What is this?
-9 year old Boston, appears Cushingoid -presented for large amount unexplained weight loss over the past few months -hepatomegaly with heterogeneous echotexture and large number of bladder stones noted
Gall bladder
-older poodle mix dog -presented for episodes of severe intermittent pain -This dog acts like a dog with SEVERE intermittent cervical or other nerve pain. However, his back appeared normal on x-rays and his pain really localizes to his cranial abdomen. The pain occurs mostly when being picked up. -I see the distended, sludge-filled gall…
Mucocele?
-12 yo MC large breed dog -presented for weight loss, ADR, dyspnea; noted to be pot-bellied on physical exam -chest x-rays unremarkable, brief cardiac echo normal -bilateral adrenomegaly and mottled liver noted -ALP ~200, ALT normal; all other values normal -Bony material in stomach on rads the day before, not noted in stomach on U/S,…
Mucocele?
-12 yo MC large breed dog -presented for weight loss, ADR, dyspnea; noted to be pot-bellied on physical exam -chest x-rays unremarkable, brief cardiac echo normal -bilateral adrenomegaly and mottled liver noted -ALP ~200, ALT normal; all other values normal -Bony material in stomach on rads the day before, not noted in stomach on U/S,…
Icterus
-10 year old FS terrier -history of cholecystectomy 2 years ago due to mucocele -currently diagosed with Cushing’s and PLN -on Vetoryl & enalapril -presented for anorexia and intermittent vomiting -ALT & SAP unable to be read, presumed high -tBili 6.5 -amylase ~2000 -all other bloodwork normal or close to it
Renal Failure
– older intact male in renal failure – not responding to typical treatment. His kidneys are significantly hyperechoic (note teaser image compared with liver) with reduced corticomedullary differentiation and mild pyelectasia. He also incompletely empties his bladder. I don’t believe his history is consistent with ethylene glycol. What ddx are most likely? Thanks!