03-00250 Toby S Portal fibrosis *BK*—-NO IMAGES—–

Case Study

03-00250 Toby S Portal fibrosis *BK*—-NO IMAGES—–

A 15-year-old NM Labrador was presented for evaluation of diarrhea.

A 15-year-old NM Labrador was presented for evaluation of diarrhea.

Sonographic Differential Diagnosis

This is most consistent with nodular hyperplasia.

Image Interpretation

The liver presented mildly irregular contour and coarse architecture with increased portal markings. Micronodular changes were noted throughout the liver with only minor disruption of architecture. The gallbladder was otherwise unremarkable. There was no evidence of neoplasia noted.

DX

Portal to portal bridging fibrosis with acquired portosystemic collateral shunting.

Clinical Differential Diagnosis

GIT – IBD, parasitic, neoplasia, dietary, lymphangectasis. Liver – chronic liver disease, neoplasia. Pancreas – chronic pancreatitis, EPI, neoplasia. Cardiac – tricuspid valve endocardiosis, pericardial effusion.

Sampling

Two 14-gauge biopsies were taken of the liver without evidence of complication. Portal to portal bridging fibrosis with acquired portosystemic collateral shunting.

Patient Information

Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound

Clinical Signs

  • Diarrhea

Clinical Signs

  • Diarrhea
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