Hello

I have Smokey a 13year old DSH who is clinically well but has had increasing liver enzymes at their regular vet. They are now 6x elevated but still not clinical. We ran a spec lipase that was markedly elevated today.

US shows possibly slightly hypoechoic pancreas but otherwise unremarkable. Traced the pancreatic duct and bile duct and it measures under 0.4cm.

The question I have is the Gallbladder. The wall was markedly thickened. All my research says it is non-specific but I assume is a sign of pathology.(cholangiohepatitis, etc…)

Hello

I have Smokey a 13year old DSH who is clinically well but has had increasing liver enzymes at their regular vet. They are now 6x elevated but still not clinical. We ran a spec lipase that was markedly elevated today.

US shows possibly slightly hypoechoic pancreas but otherwise unremarkable. Traced the pancreatic duct and bile duct and it measures under 0.4cm.

The question I have is the Gallbladder. The wall was markedly thickened. All my research says it is non-specific but I assume is a sign of pathology.(cholangiohepatitis, etc…)

I guess the question is: Is a liver FNA and biopsy likely to get an answer? Is an FNA of the GB for culture wise in theses cases?

Thanks. Brent