This 16 year old FS Cockapoo presented for panting, PU/PD and polyphagia.
Physical Exm: panting, pot-bellied, BCS 9/9
CBC/Chem: albumin 2.6, ALP 710, GGT 35, chol 1062, trig 648, platelets 662,000, USPG 1.009, T4 0.8, Ft4 normal
This 16 year old FS Cockapoo presented for panting, PU/PD and polyphagia.
Physical Exm: panting, pot-bellied, BCS 9/9
CBC/Chem: albumin 2.6, ALP 710, GGT 35, chol 1062, trig 648, platelets 662,000, USPG 1.009, T4 0.8, Ft4 normal
The kidneys presented thickened cortices. This is consistent with mild glomerulonephritis pattern. Patchy echogenic cortical changes were noted. The right kidney measured 5.9 cm. The left kidney measured 5.58 cm with pyelectasia. The right adrenal gland was uniform and measured 3.4 x 1.22 cm at the caudal pole and 0.97 cm at the cranial pole. The left adrenal gland ws uniformly enlarged and measured 3.45 x 1.28 cm at the cranial pole and 1.28 cm at the caudal pole. Exam of the cranial abdomen demonstrated excessive liver size, swollen contour, with conserved uniform architecture. Parenchymal echogenicity was diffusely isoechoic to the spleen and falciform fat. The gallbladder presented a minor amount of excessive debris. Diffuse hyperechoic changes were present in the area of the pancreas.
Glomerulonephritis renal pattern, remodeling of the pancreas. Low grade chronic active
inflammation is possible. Recommend ACTH stem and blood pressure measurement, FNA of the hypoechoic areas of the pancreas. Ursodiol therapy would be recommended preventatively.
