kidney?

Sonopath Forum

This is a 1 1/2 yr old cat living in one of our shelters. Just ADR starting 9 days ago. Exam unremarkable. blood work chem wnl ,felv/fiv neg, cbc inc eos /mono. did logical empirical therapy dewormed,clindamycin. Did not improve eating very little. abdominal scan was unremarkable with the exception of the kidneys. I wanted opinions on them. thanks

 

This is a 1 1/2 yr old cat living in one of our shelters. Just ADR starting 9 days ago. Exam unremarkable. blood work chem wnl ,felv/fiv neg, cbc inc eos /mono. did logical empirical therapy dewormed,clindamycin. Did not improve eating very little. abdominal scan was unremarkable with the exception of the kidneys. I wanted opinions on them. thanks

 

Comments

randyhermandvm

Not sure I see pathology

Not sure I see pathology here.

The images are a bit grainy and dark on my end.

I don’t see any pyelectasia and the increased density in the renal pelvis looks like fat.

Looks like good differentiation betwee the cortex and medulla.

I guess we will see what others have to say.

sherilin

thanks I think I was

thanks I think I was obsessing over the fat. Trying to find something in this patient. thanks for the input

EL

Medulalry rim sign which can

Medulalry rim sign which can be idiopathic and innocuous or also FIP so if inflammatory sediment in the urine I would consider a renal fna looking for granulomatous inflammation or better yet renal bx if you have nothing else to go on.

sherilin

Due to age and history I was

Due to age and history I was chasing FIP info. Usually with fip and medullary rim I have a sicker cat , maybe early in the game? cat improving with some fluid therapy. will get the urine sample. thanks

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