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renal and splenic changes in a cat with mild weight loss

Sonopath Forum

Sonopath Forum

renal and splenic changes in a cat with mild weight loss

Snowball is an older adult DLH, F/S indoor cat with a history of mild weight loss and mildly decreased appetite. She first presented on 7/17/15, at that time Superchem/CBC/T4 was wnl. BUN = 30, Creat = 1.6. U/A: USG = 1.067, prot 2 +, ma wnl. At that time an abdominal ultrasound was recommended. Her appetite improved somewhat. She presented for an abdominal ultrasound on 12/16/15.  She lost 4 oz since July 2015. I would like help interpreting images of her right kidney and spleen from that study.

Snowball is an older adult DLH, F/S indoor cat with a history of mild weight loss and mildly decreased appetite. She first presented on 7/17/15, at that time Superchem/CBC/T4 was wnl. BUN = 30, Creat = 1.6. U/A: USG = 1.067, prot 2 +, ma wnl. At that time an abdominal ultrasound was recommended. Her appetite improved somewhat. She presented for an abdominal ultrasound on 12/16/15.  She lost 4 oz since July 2015. I would like help interpreting images of her right kidney and spleen from that study.  To me, the head of her spleen looks mildly enlarged – she was not sedated for this study. Also the central part of the medulla of her right kidney looked irregular and enlarged to me. Also it looked like there is a small amount of subcapsular fluid around the right kidney on one of the video clips. Your help is greatly appreciated.

 

-Jennifer Katz, DVM

Comments

EL
December 18, 2015 at 9:59 pm -

I dont see a spleen and the

I dont see a spleen and the right kidney is non descript minor increased cortical echogenicity but ;argely and age related change.

jk176
December 23, 2015 at 12:21 am -

Thank you for reviewing the

Thank you for reviewing the kidney clips.  Sorry I didn’t get the spleen image posted. I just attached it. 

Happy Holidays to all!

EL
December 23, 2015 at 9:47 am -

Would have to see a video of

Would have to see a video of this still spleen because that cranial swelling may be the spleen just folding on itself or a true unifrom mass but the parenchyma is uniform so Im thinking it may be just a fold… but as a trule I never make a dx on a still alone. This practice of dx on stills has hampered telemedicine forever and has led to tons of misdx.

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