GI Masses ileocolic junction and jejunum
17 yo M/N DSH, chronic vomiting, good appetite, recent 1# weight loss, normal bloodwork, on methimazole. Liver: several (4-5) 5-8mm hypoechoic ill-defined nodules. Mildly thickened intestinal loops with prominent muscularis. Reactive LN between stomach and liver (6mm), with hyperechoic fat, colic LN 3.9mm. Spleen WNL. 2 similar round intramural masses (1cm each), hypoechoic, with positive…
Intussusception?
15 yo M/N Siamese cat with 4# weight loss over the last few months, recent anorexia and diarrhea. Bloodwork NSF. U/s: some fluid in stomach and duodenum, most jejunal loops are dilated with anechoic fluid, thickened with prominent muscularis, one loop has a focal loss of layers, normal IC junction and colon, 5mm reactive LN…
Thickened colon wall or cecum?
8 yo M/N Cat (belongs to a vet friend), u/s for FLUTD, not blocked. Normal bloodwork. No GI signs. Hx of 5 exploratories in the past for FB. Thickened wall (4.5mm) with focal loss of layers in the ascending colon or cecum. Is that typhlitis? I hope it’s not neoplastic. No GI signs, no weight…
Mass or thrombus in CVC near R adrenal
8 yo MN Pitbull seen at the ER last week for dyspnea/coughing. Severe pleural effusion. 1.6L removed, transudate. Normal bloodwork. Pitting edema all 4 legs. Today, P is doing better, still some pleural effusion, no pericardial effusion, normal heart on brief echo. Scant peritoneal effusion. Right pancreas was thickened (2cm), irregular, with a dilated vessels….
Extra-hepatic shunt?
8 mo M/N Fox Toy Terrier W9# Elevated ALT on preop labwork (159). Did well for neuter (inguinal cryptorchid). Recheck ALT 2 weeks later 304. Doing great at home. No other abnormalities on labwork. All ok on u/s. Normal size liver, 3.5cm kidneys, no bladder stones. The PV/AO/CVC seemed normal but… Is that blue vessel…
Large adrenals in a young ADR cat
3 yo F/S Siamese mix, lives in the cat room at a rescue with many other cats. Unknown history. Anorexia and vomiting (bile) for 3 days, dehydrated, fever 104.3 yesterday, none today (had Convenia last night). High bili 3.6, normal liver enzymes, high Glob, normal Alb, high SMDA 22, low BUN/Creat, low HCT 31, low…
10 yo cat with complex renal nodule, lesion near the trigone & fna cytology discussion
10 yo Maine Coon mix. Ultrasound for elevated liver enzymes (ALT 555) on preop labwork, doing well at home, vomits bile every other day. T4 pending. Spindle cell sarcoma removed 3 times from the tail. Last surgery a year ago. Liver looked fine, guts, pancreas, too. 1) 7mm complex anechoic nodule with a hyperechoic center,…
Bilateral large adrenals
11 yo F/S Lab, severe cholestasis (ALP 4100), mod cytolysis (ALT 650), asymptomatic. Overweight, W 80#. On Denamarin, Amlodipine for hypertension, Apoquel. U/s: heterogeneous liver, almost small, mild sludge. Splenic infarct area near head, w reactive LN nearby (5.9mm). Both adrenals are large, left 1.8cm (cr), right 1.5cm (cr) with a preserved architecture. I don’t think…
Reactive mesenteric fat
11 yo F/S Lab mix, chronic mild elevation liver enzymes. Lost weight a few months ago, back to normal weight. Ultrasound 2 months ago: large liver, 1.2cm hyperechoic liver nodule, 8mm reactive/cystic jejunal LN. Recheck u/s today. P is asymptomatic. Large liver, 1.6cm hyperechoic R liver nodule (deep). Hyperechoic mesenteric fat, diffuse, almost nodular, right…
Mass effect in urinary bladder (trigone)
9 yo F/S Pittbull, straining to urinate, no improvement with AB. No blood. Bloodwork and u/a pending. Hyperechoic 2.5cm mass effect in the trigone and proximal urethra. No blood flow, not shadowing. It almost looks like it’s just in the lumen and not really attached to the ventral wall. What do you think? I couldn’t…