A 10-year-old NM DSH was presented for evaluation of weight loss, unkempt appearance, pendulous abdomen, and poor hair coat quality. On clinical examination he was depressed, dehydrated, with pale mucus membranes. On CBC and serum biochemistry anemia, hyperbilirubinemia, and elevated liver enzyme activity were present..
A 10-year-old NM DSH was presented for evaluation of weight loss, unkempt appearance, pendulous abdomen, and poor hair coat quality. On clinical examination he was depressed, dehydrated, with pale mucus membranes. On CBC and serum biochemistry anemia, hyperbilirubinemia, and elevated liver enzyme activity were present..
Case Study
03_00251 Pound Puppy R Hepatic lipidosis *BK*
Sonographic Differential Diagnosis
Likely hepatic lipidosis, probable low grade underlying concurrent inflammatory hepatopathy. Mild potential for lymphoma. 25-gauge FNAs were performed and submitted for cytology. Recommend feeding tube placement and treatment for hepatic lipidosis until FNAs are assessed. Guarded long term prognosis.
Image Interpretation
The hepatic parenchyma was uniformly hyperechoic without disruption of architecture. The liver was enlarged. No masses were noted. the gall bladder and common bile duct were normal. This presentation is most consistent with hepatic lipidosis of variable degree with the minor potentially for underlying lymphoma or inflammatory hepatopathy that is not structurally evident at this time. The potential for these latter pathologies would be based on hepatic enzyme elevations and clinical profile. FNAs were performed.
DX
Marked lipid vacuolar hepatopathy.
Outcome
A feeding tube was placed and the patient seemed to be doing better.
Clinical Differential Diagnosis
Hyperthyroidism, Liver: cholangio-hepatitis complex, lipidosis, cholecystitis, neoplasia, FIP, Pancreas: pancreatitis, neoplasia, GIT: IBD, neoplasia
Sampling
FNA revealed marked lipid vacuolar hepatopathy.
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Patient Information
Gender :
Male, Neutered
Species :
Feline
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Lethargy
- Pendulous Abdomen
- Poor or unkempt coat
- Weight loss
Exam Finding
- Dehydration
- Lethargy
- Pale Mucous Membranes
Images
Blood Chemistry
- Elevated Liver Enzymes
- Total Bilirubin, High
CBC
- RBC, Low
Clinical Signs
- Lethargy
- Pendulous Abdomen
- Poor or unkempt coat
- Weight loss