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Pericardial Effusion and a Ghost
This is a 13-year-old male neutered Pug presented for exercise intolerance, and progressive bouts of syncopal episodes during exertion. General scanning revealed a heart with a moderate degree of pericardial effusion. Diastolic collapse of the right atrium was observed. The left atrium appeared slightly smaller than the right atrium in the apical views. There was…
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Lymphangiectasia pattern but without diarrhea
A 7-year-old female neutered cross breed dog was reffered for abdominal ultrasound with the complain of chronic vomiting which happens twice per week in the morning. On ultrasound, many small intestines show lymphangiectasia pattern with mucosal striations. Some loops normal, some mild to moderately affected. Ascites was present with hypoalbuminemia of 1.5g/dL. But interestingly, as…
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Left Atrial Presuure, Pulmonary Edema and its contribution to Pulmonary Hypertension
Dr. Modler was discussing left atrial pressure in relation to pulmonary venous hypertension with left heart failure(LHF), pulmonary vascular hypertension and the degree in which LHF could contribute to pulmonary hypertension. He mentioned that a left atrial pressure of 40mmHg was consistent with pulmonary edema(CHF). I don’t understand why the LAP would need to be…
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azotemia and renal cyst
14 year old MN Pomeranian with acute azotemia following general anesthesia last month for cataracts (previous renal values were normal). Ultrasound shows this cystic structure as well as an enlarged and somewhat lobulated/anechoic left adrenal gland (hx of PU/PD and mild intermittent vomiting). Would you drain this cyst and how would you classify it? How…
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Inflammatory bowel disease or other intestinal inflammatory disease
A 6-year-old MN Rottweiller was presented with the complain of chronic vomiting. After doing the initial blood test and CPLi, which were normal, the RDVM sent the dog for further evaluation to rule out any infiltrative intestinal disease. All the small intestines were normal. I found thickened rectum and proximal colon. There is a hyperechoic…
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ileocolic cyst?
12 year old MN Chihuahua – couple of weeks of lethargy, anorexia and intermittent vomiting. Distended abdomen. Very bizarre cystic structure that appeared to be coming out of the ileocolic region, but I could not find an obvious mass. It had a rounded cranial end starting just caudal to the stomach and left limb of…
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Intermittent vomiting and diarrhea, thickened muscularis layer of stomach
7 year old FS French Bulldog with 4 week hx of intermittent vomiting and diarrhea + weight loss and decreased appetite. I was not given blood work, but was told there was a decrease in serum protein that improved on recheck (assuming albumin, but unsure). She does have some mild muscularis thickening in a couple…
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Why my MR velocity is not making sense
A 4-year-old male BSH cat was presented for echo. HCM phenostype with SAM was diagnosed. There was MR jet and LVOT obstruction. The MR jet velocity measured approximatel 3m/sec with PG of 25mmHg. My question is that why this MR velocity jet is not making sense. The cat has SAM, which means that the LV…
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pancreatitis vs pancreatic mass
Hello this is an older, anorexic, sick cat . Pancreas is hypoechoic, large, irregular with some hyperechoic focci and the fat surrounding the pancreas is hyperechoic . There is scant amount of free fluid and a large liver nodule/ mass . Would these findings suggest more a pancreatic mass with metastasis versus pancreatitis and primary…
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U/S biopsies
Hello and Happy New Year to all of you ! In regards to sampling liver was wondering what is the trend inbetween sonographers . Is majority of you still do tru-cut biopsies ( when indicated) or moving more towards surgical biospies ? I ve spoke with few pathologist in my areea and they do prefer…