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
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.
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!
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.