– this is the colon of an estimated  5 year old  MN DSH who lives in a shelter

– history of chronic diarrhea; the colon palpated firm and ropey upon abdominal palpation; mild anemia on bloodwork; Feleuk/FIV negative

– the colon is disffusely thickened with a hyperechoic mucosal layer.

– there is some loss of layering detail seen in some segments but I can see layers although altered

– the R medial iliac LN was hypoechoic and enlarged

– this is the colon of an estimated  5 year old  MN DSH who lives in a shelter

– history of chronic diarrhea; the colon palpated firm and ropey upon abdominal palpation; mild anemia on bloodwork; Feleuk/FIV negative

– the colon is disffusely thickened with a hyperechoic mucosal layer.

– there is some loss of layering detail seen in some segments but I can see layers although altered

– the R medial iliac LN was hypoechoic and enlarged

– the ileal muscularis layer was mildly thickened the ICJ and the IC LN’s prominent but rest of GI unremarkable

DDX: ulcerative colitis, lymphoma, mast cell, FIP, carcinoma

FNA of the thickened colon wall was performed with cytology pending

I am leaning toward colitis with this one as the wall layering appears to be maintained. Any thoughts?