The liver was diffusely hypoechoic and irregular in contour. Hepatic lymph node enlargement was noted at 0.95 cm. The gallbladder was unremarkable. The spleen was largely uniform with mildly swollen and scalloping contour. This is most consistent with reactive hypersplenism with the potential for emerging neoplasia such as lymphoma or mast cell disease. No overt masses were noted. The spleen measured 1.0 cm. The gastrointestinal presentation revealed mild uniform prominence of the gastric mucosa as well as areas of “ropey” small intestinal wall. The intestinal mucosa was slightly irregular, thickened and hyperechoic suggestive of low grade, chronic inflammation. No evidence of obstruction was present. Chronic inflammatory bowel disease is probable with a low possibility of an early neoplastic event such as lymphoma. Full thickness tissue biopsies via open laparotomy would be necessary to rule out this possibility. Jejunal lymph nodes were significantly enlarged, irregular and hypoechoic with pericapsular inflammatory pattern measuring 1.7 x 2.0 cm. Epigastric lymph nodes were also enlarged. The transdiaphragmatic view revealed a mild amount of pleural effusion.