Hepatic Cyst

Sonopath Forum

Black jack is a 12 year old DSH that belongs to a long time client that moved out of state. She drove in for me to evaluate Blackjack. I did lab work and abdominal x-rays. The labs were all normal. The abdominal x-rays were WNL except for what I interpreted as hepatomegally. The chest x-rays were WNL

Black Jack recently experienced an episode of LUTD but seems to be doing well now. Labs run at Banfield indicated a non regenerative anemia with a HCT around 20. My labs indicated a HCT of 46.

I am posting 2 separate sets of cines/1 still .jpg.

Black jack is a 12 year old DSH that belongs to a long time client that moved out of state. She drove in for me to evaluate Blackjack. I did lab work and abdominal x-rays. The labs were all normal. The abdominal x-rays were WNL except for what I interpreted as hepatomegally. The chest x-rays were WNL

Black Jack recently experienced an episode of LUTD but seems to be doing well now. Labs run at Banfield indicated a non regenerative anemia with a HCT around 20. My labs indicated a HCT of 46.

I am posting 2 separate sets of cines/1 still .jpg.

The first cine is the bladder in transverse view. I was wondering if the outpocketing of the bladder wall on the ventral surface of the bladder is a dilated ureter coming into the bladder. Seems like I never paid much attention to ureters coming in from a transverse orientation. If what I am seeing is not a ureter- then what is this.

Second set of Cines is the liver. When I first started looking I thought I was looking at the gallbladder. I am posting 1 video with what is the gallbladder. This appears to me to be a very large hepatic cyst. RI/RO would be cystic fluid, purulent material (no indication of this on the CBC and no fever). This could also be a hematoma. If that is a hematoma could that have been the cause of the anemia seen at Banfield.

Any feedback would be appreciated.

 

 

 

Comments

EL

Hepatic cyst for sure and if

Hepatic cyst for sure and if infected not all have fever… its a localized disease. Needs a needle to know for sure.

im not sure what this is as the only time I have seen ureters entering ventrally is either ectopic or rotated owing to a CUJ bladder mass or invasive tcc invadiing a ureter and altering the bladder axis. I would define the normal u-paps first wiht hi res and zoom in and check the ureteral jets, then power doppler this structure to see if vascularized and also try to follow it to see what its connceted to if anything.

 

randyhermandvm

Thanks EL

Thanks EL

Skip to content