– 10 yr old FS Collie Cross pu/pd, polyphagic, potbellied with ALP 1200, ALT mildly elevated; rDVM did not perform u/a yet

– O indicates that pet is more lethargic lately and yelps in pain

– GB shows an emerging mucocele pattern but mobile sludge also seen in some parts

– adrenals “plump” although measurments at cranial and caudal poles wnl

– I don’t think I see surrounding inflammation or anything that indicates imminent perforation BUT positive Murphy when scanning the GB

– 10 yr old FS Collie Cross pu/pd, polyphagic, potbellied with ALP 1200, ALT mildly elevated; rDVM did not perform u/a yet

– O indicates that pet is more lethargic lately and yelps in pain

– GB shows an emerging mucocele pattern but mobile sludge also seen in some parts

– adrenals “plump” although measurments at cranial and caudal poles wnl

– I don’t think I see surrounding inflammation or anything that indicates imminent perforation BUT positive Murphy when scanning the GB

So is medical management with ultrasound monitoring acceptable for this one?

A LDDST is scheduled. If PDH, will treatment help with the mucocele?