– 7 year old FS Australian Cattle dog with history of progressively increasing liver enzymes

– most recent bloods showed BUN 2.2 (2.5-9.6), ALT 526 (10-100), ALP 424 (23-212)

– no recent bilrubin or pre/post bile acids available from referring vet

– PT, PTT and platelets normal and pre-biospy PVC/TP wnl

– pet clinically well

– liver diffusely hyperechoic, slightly mottled on ultrasound and capsule slightly irregular

– no ascites or lymphadenopthy; adrenals normal shape and size

– 7 year old FS Australian Cattle dog with history of progressively increasing liver enzymes

– most recent bloods showed BUN 2.2 (2.5-9.6), ALT 526 (10-100), ALP 424 (23-212)

– no recent bilrubin or pre/post bile acids available from referring vet

– PT, PTT and platelets normal and pre-biospy PVC/TP wnl

– pet clinically well

– liver diffusely hyperechoic, slightly mottled on ultrasound and capsule slightly irregular

– no ascites or lymphadenopthy; adrenals normal shape and size

– tortuous blood vessels  ventral and caudal to left kidney –  acquired shunts?

– 14 and 16 gauge core biopsies taken but very little tissue acquired – could place the needle into the liver (see clip where needle is moving to confirm liver placement)  but the entire needle would pop upward when the needle fired to obtain the core as if the liver was too dense –  Could this indicate fibrosis?

– also, strangley enough, the gall bladder did not appear in its normal positon – much more central and to the left; An anomoly?

Still on the right is tranverse liver with gall bladder toward the left (stomach shadowing it). The GB was best seen through the left intercostal space in this patient.