Gall bladder mucocele or not
A 5-yeard-old male neutered jack russel was presented with the complain of vomiting. Mildly elevated ALP 300U/L and high amylase 1621U/L were noticed on blood test. cPLi test result was abnormal but the left and right limb of pancreas were normal sonographically. A lot of biliary sludge was noticed in the gall bladder, which sometimes…
Target lesion or not?
A 2-yeard-old male neutered jack russel was presented with the complain of vomiting. On abdominal scan, an irregular splenic lesion with sharp demarcation was noticed. The lesion had hyperechoic centre with some hypoechoic area in the periphery. By definition, it falls in the target lesion category but doesn’t look like a typical one. Dog was…
Pulmonic stenosis
2 year old English Bull Dog with right sided congestive heart failure Needed butorphanol for echo Moderate (64mmHg) pulmonic stenosis with severe right atrial dilation and tricuspid regurg. I was surprised there was not a severe pressure gradient but I know butorphanol may have had an effect on this Does this seem like an anomoly…
abnormal kidney
Browning is a 4 year old golden retreiver with a history of chronic hematuria that presented to have a urinary tract ultrasound. the dog was worked up at the referring vets, an the cheistry was normal and culture of the urine was negative for bacterial growth. the bladder and prostate appeared normal. The left kidney…
Mindray machine artefact
I am attaching the video of the liver. Whenever I scan liver, I get this. Like you can see in the video, there is kind of a curtain which seems to be arising from the probe and giving an impression that the middle of the liver is hyperechoic. I always get it when I scan…
Hepatic mass or not
12-year-old male neutered daschund was presented for oronasal fistual repair. Pre-anesthetic blood test showed very mildly elevated ALT and ALP. In general, happy dog with moderate to severe periodontal disease. BCS 9/9. US showed heterogenous plumpy liver. There is a suspicion of a mass on the right side of the liver which kind of fades…
Is it parathyroid tumor
A 13-year-old female neutered daschund was presented with persistent hypercalcemia. Abdominal ultrasound and chest radiographs were unremarkable. No evidence of neoplasia was found. Parathyroid glands were scanned and I think there is a nodule on the left parathyroid gland. Can you please confirm
central renal cyst vs. hydronephrosis?
16 year old FS DLH. Mild azotemia BUN 32, creat 2.2, HCT 25% (anemia seems disproportionate to degree of azotemia). Would you consider the left renal pelvis moderately dilated? No uroliths seen, ureter could be picked up more distally and looked normal. Would you be thinking chronic urolith passage/fibrosis/infection? Then her right kidney has what…
Glossitis in a 10 month old Australian Cattle dog
History: Diagnosed with suppurative glossitis based on oral biopsy. No evidence of fungal or autoimmune disease on biopsy. He was placed on a 7-day course of Clavamox, and his symptoms of lethargy, fever and anorexia resolved. He also had a beta hemolytic strep UTI at 4 months of age. Chemistries have been normal. Initial CBC had…
Inspissated gall bladder in a feline?
16 year old FS DSH, owner concerned she is uncomfortable because her posture is more hunched, mild increase in renal values and SDMA with more marked anemia of 25%. Liver values WNL. Anorexia that improved with some outpatient supportive care. History of hyperthyroidism, controled. I had a difficult time making out the gall bladder in…