Thick irregular bladder wall and small kidney

Sonopath Forum

Sonopath Forum

Thick irregular bladder wall and small kidney

  • 11yo f/s Bichon with chronic hematuria that has been minimally responsive to antibiotics.
  • UA showed blood and bacteria on one sample but not on the next. No C&S done yet.
  • Thick irregular bladder wall capped with echogenic layer
  • left kidney 5.5cm right kindey 4cm, hyperechoic and abnormal appearing.
  • I am curious about a description, DDX and recommendations

  • 11yo f/s Bichon with chronic hematuria that has been minimally responsive to antibiotics.
  • UA showed blood and bacteria on one sample but not on the next. No C&S done yet.
  • Thick irregular bladder wall capped with echogenic layer
  • left kidney 5.5cm right kindey 4cm, hyperechoic and abnormal appearing.
  • I am curious about a description, DDX and recommendations

Comments

EL
February 14, 2015 at 10:37 pm -

Have any other views or

Have any other views or videos AVD? Is that echogenic material mobile?

aliasingvetdms
February 15, 2015 at 3:13 am -

Yes I have lots of views.

Yes I have lots of views. There is material floating in the urine with ringdown artifact present. The stuf  adherred tot the irregular wall didn’t move well. Anything in particular you would look for?

EL
February 14, 2015 at 10:37 pm -

Have any other views or

Have any other views or videos AVD? Is that echogenic material mobile?

aliasingvetdms
February 15, 2015 at 3:13 am -

Yes I have lots of views.

Yes I have lots of views. There is material floating in the urine with ringdown artifact present. The stuf  adherred tot the irregular wall didn’t move well. Anything in particular you would look for?

aliasingvetdms
February 15, 2015 at 3:19 am -

I was wondering if the color

I was wondering if the color doppler seen at the trigone is real or not.

aliasingvetdms
February 15, 2015 at 3:19 am -

I was wondering if the color

I was wondering if the color doppler seen at the trigone is real or not.

EL
February 15, 2015 at 2:24 pm -

The color looks real as no

The color looks real as no splash in the bladder lumen and its all in the tissue. This is highly suggestive for tcc because of the echogenic changes within the tissue with color doppler but I never ever make a call on still images… too easy to be burned. Can you load video of both of these? maybe from a few angles? You can do a traumatic catheterization of the lesions as well. see interventional procedures

http://sonopath.com/resources/interventional-procedures

aliasingvetdms
February 15, 2015 at 6:02 pm -

Thanks for the quick reply. I

Thanks for the quick reply. I tried to load videos but it did not take them . I will try again. I read about the traumatic catheterization from a previous case. Thanks.

randyhermandvm
February 15, 2015 at 6:41 pm -

What kind of Video’s. 
If you

What kind of Video’s. 

If you have a Mac I use a program called Smart Converter to convert my .avi files into .mp4 files that are suitable for upload to the sonopath web site. I’m sure that windows probably has a similar program.

aliasingvetdms
June 14, 2015 at 9:25 pm -

Follow up:  Next scan 2 weks

Follow up:  Next scan 2 weks ago revealed a mass more prominently coming from the ventral mid wall.  I guess the color was real.

EL
February 15, 2015 at 2:24 pm -

The color looks real as no

The color looks real as no splash in the bladder lumen and its all in the tissue. This is highly suggestive for tcc because of the echogenic changes within the tissue with color doppler but I never ever make a call on still images… too easy to be burned. Can you load video of both of these? maybe from a few angles? You can do a traumatic catheterization of the lesions as well. see interventional procedures

http://sonopath.com/resources/interventional-procedures

aliasingvetdms
February 15, 2015 at 6:02 pm -

Thanks for the quick reply. I

Thanks for the quick reply. I tried to load videos but it did not take them . I will try again. I read about the traumatic catheterization from a previous case. Thanks.

randyhermandvm
February 15, 2015 at 6:41 pm -

What kind of Video’s. 
If you

What kind of Video’s. 

If you have a Mac I use a program called Smart Converter to convert my .avi files into .mp4 files that are suitable for upload to the sonopath web site. I’m sure that windows probably has a similar program.

aliasingvetdms
June 14, 2015 at 9:25 pm -

Follow up:  Next scan 2 weks

Follow up:  Next scan 2 weks ago revealed a mass more prominently coming from the ventral mid wall.  I guess the color was real.

rlobetti
February 16, 2015 at 1:47 pm -

Would go for a traumatic

Would go for a traumatic catherization for a possible diagnosis. Although kidneys may look grossly abnormal, still need to look at renal function (urea, creat, phosphate, urine SG) for a better idea on prognosis.

aliasingvetdms
February 16, 2015 at 10:02 pm -

Renal function are still WNL

Renal function are still WNL

rlobetti
February 16, 2015 at 1:47 pm -

Would go for a traumatic

Would go for a traumatic catherization for a possible diagnosis. Although kidneys may look grossly abnormal, still need to look at renal function (urea, creat, phosphate, urine SG) for a better idea on prognosis.

aliasingvetdms
February 16, 2015 at 10:02 pm -

Renal function are still WNL

Renal function are still WNL

EL
February 17, 2015 at 3:40 am -

Just about all video types

Just about all video types are permitted for upload. But regardign converter I love the movavi.com. It has all the US company codecs and is easy drag and drop.

EL
February 17, 2015 at 3:40 am -

Just about all video types

Just about all video types are permitted for upload. But regardign converter I love the movavi.com. It has all the US company codecs and is easy drag and drop.

Subscribe
Skip to content