Hyperechoic ‘lines’ within the Liver in a cat

Hi everyone, 

I’m scratching my head on this cat’s liver and was hoping to get some insights from the experts!:)

13 year old DSH male neutered cat was presented for vomiting. Blood work showed mild azotaemia but otherwise unremarkable. There was no elevation of liver enzymes.

Ultrasound performed showed a

1. Small right kidney and large left kidney,

2. Prominent muscularis layering of the jejunal and ileum segments with thickened wall.

3. The gall bladder had a small amount of sludge in it slumen.

Hi everyone, 

I’m scratching my head on this cat’s liver and was hoping to get some insights from the experts!:)

13 year old DSH male neutered cat was presented for vomiting. Blood work showed mild azotaemia but otherwise unremarkable. There was no elevation of liver enzymes.

Ultrasound performed showed a

1. Small right kidney and large left kidney,

2. Prominent muscularis layering of the jejunal and ileum segments with thickened wall.

3. The gall bladder had a small amount of sludge in it slumen.

4.** There were multiple hyperechoic linear strands within the hepatic parenchyma.

**Has anyone seen these changes in a cat before? Are they significant? I was thinking some sort of parasites like a hepatic fluke which also replicate in the intestines and was wondering if the changes in the small intestinal tract are related?

Thank you in advance for you help!