11 yr old FS DSH w/ persistent hematuria, proteinuria and calcium oxylate crystals. Area of mineralization seen on radiographs. Did traumatic catheterization of poly like thickening in bladder wall. Hyperechoic debris appears more urolith-like post aggitation w/ catheterization but did not become gravity dependent as evidence from standing views. Awaiting cytology results, but main question related to how vascular the appearance of the wall is deep to the hyperechoic debris lining the lumen. Could this just be inflammation from embedded calculi or is it more su
11 yr old FS DSH w/ persistent hematuria, proteinuria and calcium oxylate crystals. Area of mineralization seen on radiographs. Did traumatic catheterization of poly like thickening in bladder wall. Hyperechoic debris appears more urolith-like post aggitation w/ catheterization but did not become gravity dependent as evidence from standing views. Awaiting cytology results, but main question related to how vascular the appearance of the wall is deep to the hyperechoic debris lining the lumen. Could this just be inflammation from embedded calculi or is it more suggestive of infiltrative disease? Also thought the left kidney renal pelvis appeared more thickened an hyperechoic than normal – suggestive of previous pyelectasia/infection?
Comments
Looks like cystitis…
Looks like cystitis… interstitial with secondary sand to me… can cut it out and sand analysis with culture & histopath.
I would watch it in 2-3 weeks sonographically if treating empirically.
Here’s a more typical feline tcc case.
http://sonopath.com/members/case-studies/cases/0600320-theo-j-bladder-mass-le-ureteral-obstruction