– geriatric cat presented for diarrhea and weight loss
– bloodwork mild elevation in SDMA, normal T4 and other parameters normal including liver enzymes
– distal CBD is dilated with a luminal hyperechoic lesion at the d-pap that also appears to involve the walls of the CBD
– could this be sludge or neoplastic invasion or can you really tell at this stage? Strange that liver enzymes are normal but this is a cat. Not sure what to do with this other than to monitor for now?
– geriatric cat presented for diarrhea and weight loss
– bloodwork mild elevation in SDMA, normal T4 and other parameters normal including liver enzymes
– distal CBD is dilated with a luminal hyperechoic lesion at the d-pap that also appears to involve the walls of the CBD
– could this be sludge or neoplastic invasion or can you really tell at this stage? Strange that liver enzymes are normal but this is a cat. Not sure what to do with this other than to monitor for now?
2 responses to “Bile duct sludge vs neoplasia?”
Older cats get thicker and
Older cats get thicker and dilated cbd and d paps… I think you just have really solid images here and essentially gerriatric norrmal or maybe a little sludge.
Makes sense with normal liver
Makes sense with normal liver enzymes. Thanks EL