16 year old FS DSH, owner concerned she is uncomfortable because her posture is more hunched, mild increase in renal values and SDMA with more marked anemia of 25%. Liver values WNL. Anorexia that improved with some outpatient supportive care. History of hyperthyroidism, controled.
I had a difficult time making out the gall bladder in this patient. The common bile duct was thickened, measuring 6 mm. No choleliths seen and no mass at the duodenal papilla. Tracing the CBD retrograde, gall bladder appears to be homogenous with the rest of the parenchyma. Thoughts?