Feb 11/16  – 14 y M/N Boxer presented for hematuria x several days. Colleague did cbc/chem/ua – only abnormal findings was UTI (TNTC RBCs, 3+ WBCs). Rx Amoxil q12hrs x 10 days.

Feb 27/16 – recheck UA – owner feels hematuria has cleared up, dog is better. BUT UA – persistant 3+ WBCs and 2+ RBCs and now rods and cocci seen. Rx Veraflox q24hrs x 7 days.

March 14/16 – recheck UA – dog continues to do well. BUT UA – persistant hematuria – 2+.

Feb 11/16  – 14 y M/N Boxer presented for hematuria x several days. Colleague did cbc/chem/ua – only abnormal findings was UTI (TNTC RBCs, 3+ WBCs). Rx Amoxil q12hrs x 10 days.

Feb 27/16 – recheck UA – owner feels hematuria has cleared up, dog is better. BUT UA – persistant 3+ WBCs and 2+ RBCs and now rods and cocci seen. Rx Veraflox q24hrs x 7 days.

March 14/16 – recheck UA – dog continues to do well. BUT UA – persistant hematuria – 2+.

March 16/16 – ultrasounded – bladder WNLs, prostate WNLs, kidneys (see attached) – RK unremarkable, LK – caudal pole contains what I would describe as a lobulated round structure with a thin, well demarcated, hyperechoic rim. I would have interpreted this as a cystic structure, but have never seen a cyst present in such a manner – I usually just see a single or multifocal circular or oval anechoic structure with similar rim. Again, the dog is otherwise healthy and bloodwork WNLs. Urine culture is pending.

My questions:

– could this just be a multilobulated cyst? or similar aging change?

– if the culture is negative, should I be looking into FNA the area to rule out neoplasia?

Thanks

Jennifer