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Thickened stomach

Thickened stomach

7 year old FN Rotti X, diagnosed with chronic hepatits/cirrhosis on biopsy 6 months ago following ascites presentation Vomiting and inappetance more recently with significant weight loss Mild hypoalbuminaemia, globulin and cholesterol normal, mild-mod increase in ALT and ALP, BAST mod increased.

Cat cardiomyopathy

10 year old MN DSH presented in CHF with pulmonary oedema Stabilised and echo done after a few days of furosemide I can see a mildly thickened LV wall with hyperechoic endocardium, contraction seemed poor but ok on measurements, bi-atrial enlargement Would you classify this as a RCM?

Insulinoma?

7 year old FN Lab with dropped jaw (suspect trigeminal neuritis), mild pyrexia, mild anaemia (non-regen) and lethargy Hypoglycaemic on oxolate lab sample, recheked with glucometer next visit – low normal Is this a pancreatic mass or LN? Could this be an insulinoma?

Gastric mass

10 year old CKCS with meleana A 1cm hypoechoic mineralised mass in stomach lumen which appears to be attached to normal wall by a thin stalk and has a blood supply  Are these findings correct and what is this mass most likely to be?

Bladder lesion

12 year old outdoor FN Cocker Spaniel with haematuria and pollakiuria, improved since started antibiotics Do you think this bladder thickening of the ventral wall is inflammatory or TCC? it seems quite focal with loss of layering and mineralised? I will rescan in 4 weeks after abs, nsaids Also very nodular liver, do you think…

Ascites cat

10 year old cat with ascites Intestinal mass which appears to be at the ICCJ, how would you describe this? Also very nodular area caudal to the stomach, is this pancreas or just omentum? Most likely carcinomatosis?

Ventricular Arrhythmia

13 year old arthritic FN Retriever with an arrhythmia and murmur, history of intermittent diarrhoea, bloods normal Normal abdominal ultrasound Echo showed mitral and pulmonic regurg but no remodelling Persistent VPC and runs of up to 5 VPCs (V tach), rate seemed around 100-120 on average Do not think owner will go for holter monitor…

SAS in a Whippet

6 month old FE Whippet with murmur, no clinical symptoms Moderate mitral and tricuspid regurgitation, suspect valvular dysplasia, also moderate subaortic stenosis (59mmHg) There does not appear to be secondary remodelling except for right side of septum on m-mode view? Do you think this interpretation is correct and what is the prognosis? I  I suspect…

Gallbladder mucocoele?

8 year old female entire Bernese Mountain Dog with severe bilateral uveitis, also coming into season Mild-moderately elevated liver enzymes and cholesterol, neutrophilic leucocytosis Scanned to check for systemic cause of uveitis The liver parenchyma was heterogenous and the gallbladder seemed distended (was not fasted) with echogenic material throughout lumen, is this a mucocoele? Do…

Liver disease

13 year old Maltese Terrier presented with vomiting and acting strange, previous hx GME (not on any meds now) Bloods: severely increased ALP + ALT (proportionate >3000), GLDH normal, resting bile acids off scale (but is a Maltese), bilirubin normal, Albumin mild decrease, no stress leukogram The liver seemed mildly heterogenous with increased echogenicity, cystic…