A 7-year-old female neutered cross breed dog was reffered for abdominal ultrasound with the complain of chronic vomiting which happens twice per week in the morning. On ultrasound, many small intestines show lymphangiectasia pattern with mucosal striations. Some loops normal, some mild to moderately affected. Ascites was present with hypoalbuminemia of 1.5g/dL. But interestingly, as per owner, the dog doesn’t have diarrhea. I have referred this dog for endoscopic biopsies. What could be the reason that this dog is vomiting but doesn’t have diarrhea? Some other intestinal pathology which is compatible with this sonographic appearance?