A Tale of Two Bladders. TCC vs. thickened bladder wall.

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A Tale of Two Bladders. TCC vs. thickened bladder wall.

  • I scanned two patients the other day, both with bladders that looked abnormal.
  • The first bladder I scanned in a 9-year-old MN Shiba Inu had a thickened bladder wall that to me looked irregular.
  • The second bladder on a 14-year-old Mixed breed looked plain awful.  🙁

Can a bladder wall appear thickened in some areas and not throughout and still be considered “normal” or, is it just my angles that make it appear that way?

Shiba Inu bladder: 

  • I scanned two patients the other day, both with bladders that looked abnormal.
  • The first bladder I scanned in a 9-year-old MN Shiba Inu had a thickened bladder wall that to me looked irregular.
  • The second bladder on a 14-year-old Mixed breed looked plain awful.  🙁

Can a bladder wall appear thickened in some areas and not throughout and still be considered “normal” or, is it just my angles that make it appear that way?

Shiba Inu bladder: 

 

 

Mixed breed K9 bladder: 

 

 

I can certainly see the vast differences between the two presentations, in the first patient although thickened, the walls do appear smooth in general. The second patient the walls are terribly bumpy and irregular.

Comments

EL

The third-fifth videos note

The third-fifth videos note the thickening and mineralization at the trigone and urethra. Nothing good happens with caudal (trigonal/urethral) thickening whereas apical thickening like the first couple of videos gets thicker the more empty the bladder. But apical thickening is more consistent with cystitis but tcc can also be there as well so always get bx oand/or monitor wiht follow up scans. Caudal thickening is often tcc espcially if mineralized with rare exceptions.

To see the tendencies check out these searches for “cystitis” and both cystitis and neoplastic cases come up.

http://sonopath.com/members/case-studies/search?text=cystitis+uti&species=All

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