- 7 year old FN Rotti X, diagnosed with chronic hepatits/cirrhosis on biopsy 6 months ago following ascites presentation
- Vomiting and inappetance more recently with significant weight loss
- Mild hypoalbuminaemia, globulin and cholesterol normal, mild-mod increase in ALT and ALP, BAST mod increased.
- 7 year old FN Rotti X, diagnosed with chronic hepatits/cirrhosis on biopsy 6 months ago following ascites presentation
- Vomiting and inappetance more recently with significant weight loss
- Mild hypoalbuminaemia, globulin and cholesterol normal, mild-mod increase in ALT and ALP, BAST mod increased.
- Scan showed thickened stomach wall especially muscularis layer of body/pylorus with hyperechoic speckling, mild steatitis, lymphadenopathy caudal to stomach, mild pancreatic enlargement with microhepatic, increased portal markings etc on liver, very small amount of ascites
- Is this stomach picture typical of any disease process and do you think it related to hepatitis?
- Also would you be concerned about B lines in lungs across diaphragm interface?
- Thanks in advance
Comments
I don’t like the hepatic LN
I don’t like the hepatic LN that are enlarged but may be from the liver disease. panc LN in video 1 is up which is concerning. Gastritis likely which happens with liver disease often. No loss of mural detail but linear striations in the muscularis and muscularis hypertrophy and thich submucosa … clinical significance still up in there air on those striations. I would consider gastritis til proven otherwise. If not responding then sample. Shooping spree of surgical bx would be ideal here stomach and regional LN.
Thanks EL, very helpful.
Are
Thanks EL, very helpful.
Are the reverberation lines in the first image due to lung pathology?
The reverb can be comet tail
The reverb can be comet tail alveolar disease but can also fomm lightly with just positional dependence. Have to check rads.
Great thanks.
Great thanks.
Great thanks.
Great thanks.
Great thanks.
Great thanks.