Medullary rim sign 2
Follow on post from 15th May Repeat ultrasound of abnormal kidneys Urea, crea normal, usg concentrated, clinically normal, weight normal I think the right kidney has reduced in size and the left is still enlarged/hypertrophied but I am seeing striations within the medulla, does anyone recognise this pattern? I was not given consent to FNA…
Liver mass
10 year old terrier, inappetant and vomiting with severely increased liver enzymes Improved with supportive treatment Large heterogenous liver mass of the caudate lobe i think? Does this look contained to single lobe and surgically resectable?
Neck swelling
10 year old lab presented with swelling in right submandibular region, extends dorsally to ear and crosses midline ventrally Mouth exam unremarkable, not a stick chewer Swelling is pitting and now lip swollen due to suspect interruption in lymphatic drainage I am seeing cellulitis and what I think is an enlarged parotid salivary gland plus…
Mitral regurgitation in a puppy
6 month old rescue Lurcher puppy, trying to be rehomed Grade 3/6 left apical systolic murmur Moderate mitral regurgitation and mild tricuspid regurgitation, I don’t think there is remodelling Would you classify this as myxomatous mitral valve disease or mitral dysplasia? What would you expect the prognosis to be? Many thanks in advance
Liver disease
7 year old MN Staffordshire Bull Terrier with 2 year history of seizures (on phenobarbitone and potassium bromide) Recent history of GI upset and jaundice, pyrexia Not vaccinated – I am suspicious of leptospirosis causing a cholangiohepatitis but there were other abnormalities….. The liver has diffusely increased portal markings There is also pancreatitis present in…
Lymph nodes
11 year old FN SBT presented with GI signs, hx pancreatitis Pleural effusion, abdominal effusion, long segment of thickened LI with loss of layering, round hypoechoic enlarged lymph nodes Pancreas was small and hyperechoic, adrenal glands were normal Also a very strange area mid abdomen which I think is enlarged lymph nodes with surrounding steatitis…
ECG
3 year old FN Lab cross History exercise intolerance and panting Normal cardiac examination Negative/inverted qrs on echo machine ECG, lead placement seemed to be correct Is this significant?
Kidney mass
6 (approx) year MN old harrier hound off form, haematuria Bloods hypoalbuminaemia, hyperglobulinaemia and neutrophilic leukocytosis Large right kidney mass, it seemed to have flow on doppler FNA cytology: neutrophilic inflammation (rare epithelial cells seen with normal morphology) Do you think this is an abscess or sampling from a necrotic tumour? In the second video…
Hyperechoic nodules
13 year old retriever with splenic and liver masses I am wondering about the hyperechoic nodules caudal to the kidney, are they in the musculature/fat, just mineralisation?
Bladder disease
8 year old male entire American Bulldog 10kg weight loss over past 2 months Urinating blood Is this an emphysematous bladder? Bloods pending and urine sample (which appeared to be frank blood) was collected by catheterisation The gallbladder also had a thickened wall but I could not find any other cause for weight loss