Shunt hunt, 10 weeks old Miniature Poodle with neuro signs.
10 weeks old Mini Poodle (4#) presented for acute vomiting, circling, ataxia and a full seizure today. Owner got Patient 2 weeks ago. No known exposure to toxins. Patient recovered fully by the time I arrived to scan her. We distracted her with a spoon of i/d for the scan, and 15 min post meal/post…
Hepatic abscess?
10 yo F/S Lab mix 29# Seen for acute vomiting and anorexia a few days ago. Mild neutrophilia (13.1 > 11.6), moderate hepatic cytolysis (ALT 662 > 125). GI signs resolved completely with cerenia. Ultrasound for elevated liver values. One large (4cm by 3cm) oval hypoechoic mass effect in or near the dorsal mid liver,…
Mass in/near cranial pole of right adrenal?
13 yo MN Whippet. U/s for mild elevated liver enzymes. Asymptomatic. On Benazepril and Telmisartan for proteinuria. First u/s a month ago, mass effect near or in the cranial pole of R adrenal, 1.3cm. Large liver with ill-defined hypoechoic areas. FNA declined. Plump L adr for a 35# dog (7-8mm). Recheck u/s a month later:…
21 year old cat, nodule near CVC
21 yo cat. Intermittent decreased appetite. Stage 2 CKD. BSC 4/9. U/S: cysts in kidneys, thickened pancreas. Nothing exciting for a geriatric cat. Completely anechoic 1cm wide by 2cm long oval structure, between the aorta and the CVC on the R side, near R kidney. No blood flow on doppler. Adrenals were WNL. What is…
Stomach nodule in dorsal wall.
13 yo F/S Yorkie BSC 8/9. Presented for bloody diarrhea. Hx of pancreatitis. Neutropenia (2.75 < 2.79), leukopenia (5 < 5.05) Severe cholestasis (ALP 1600). ALT 196. Plumb adrenals (L 5.5 R 6.9) Large hyperechoic liver. GB: partially organized sludge, partial mucocele. Big pancreas. Mildly Enlarged mesenteric LN, 6.3mm Stomach: 1.4cm hypoechoic intramural nodule projecting…
Small tear in the spleen?
11 yo MN Labradoodle 57# U/s for asymptomatic mild elevated ALP before dental. Normal abdomen except for a 5mm apparent tear in the spleen, with scant amount of free fluid and omentum patching the area. How often does this happen? The dog is doing great, normal HCT, no hx of trauma. I rechecked the spleen…
Bilateral masses near adrenals and lumbar aorta
12 yo FS 80# lab. Urinary incontinence for years, worse in the last few months, now PUPD, severe weight loss. ALP 296, ALT 197 Diluted urine SG 10.09 U/S: Normal adrenal glands (Left cr. 5.1mm/6.0mm, Right 6.5mm/5.2mm) 2 large anechoic septated nodules present, caudal to each adrenal gland, not attached to the glands, 2cm diameter,…
Pancreatic nodule or lymph node
12 yo F/S Italian Greyhound 17# Asymptomatic severely elevated liver enzymes. Currently ALT 1786, was 171 last month. ALP was 461 last month. On Thyroxine. 1st u/s last month: large hyperechoic liver with multiple small hypoechoic nodules (3mm-1cm). FNA: vacuolar hepatopathy. Gastritis. Pancreas was thickened with a cavitated 1cm nodule or LN, dorsal to stomach….
Intrahepatic shunt or branch of portal vein?
10 month-old 50# M/N goldendoodle. Vomiting food just after he eats for the last 10 days. Good appetite. No diarrhea. Likes to eat things. Chem/cbc/lytes WNL U/S: diffusely thickened stomach wall (7.2mm). Gastritis. Reactive jejunal LN (1cm wide), Gi parasites vs puppy LN vs other. Kidneys are big. Left 7cm. right 6.4cm. Thin left adrenal…
Severely elevated BA, asymptomatic large breed rescue dog.
New rescue, 4-5 yo, 55# Lab Mix Male intact from TX. HW + Anaplasma +. On Doxy before HW treatment. Giardia +, treated with Panacur. Chem 10/CBC before neuter: ALT 1377, ALP 811. BA pre 51, post 255! Completely asymptomatic. U/S: subjectively small liver, small hyperechoic pinpoint foci. Normal PV/AO/CVC ratio. Chronic hepatitis vs other….