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Abnormal liver
This 11ish year old sf persian cat was presented for lethargy and anorexia last week. She had a history of chronic ibd. Cbc had possible bands, otherwise wnl and elevated bun low creat and elevated sdma. Liver vales wnl. An ultrasound was performed, a urine collected. The cat had bilateral cystic kidneys, and an abnormal…
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Ilium lesion — is it signficant or not
A 3-year-old male intact golden retriever was presented almost collapased with 10% dehydration. Blood test was unremarkable except hyperproteineimia. He was stabilised and became much better over the next day. Abdominal ultrasound was done and there were highly enlarged jejunal lymph nodes. The other significant finding was the presence of a hyperchoic line in the…
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Gall bladder mucocele or not
A 5-yeard-old male neutered jack russel was presented with the complain of vomiting. Mildly elevated ALP 300U/L and high amylase 1621U/L were noticed on blood test. cPLi test result was abnormal but the left and right limb of pancreas were normal sonographically. A lot of biliary sludge was noticed in the gall bladder, which sometimes…
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Target lesion or not?
A 2-yeard-old male neutered jack russel was presented with the complain of vomiting. On abdominal scan, an irregular splenic lesion with sharp demarcation was noticed. The lesion had hyperechoic centre with some hypoechoic area in the periphery. By definition, it falls in the target lesion category but doesn’t look like a typical one. Dog was…
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Pulmonic stenosis
2 year old English Bull Dog with right sided congestive heart failure Needed butorphanol for echo Moderate (64mmHg) pulmonic stenosis with severe right atrial dilation and tricuspid regurg. I was surprised there was not a severe pressure gradient but I know butorphanol may have had an effect on this Does this seem like an anomoly…
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abnormal kidney
Browning is a 4 year old golden retreiver with a history of chronic hematuria that presented to have a urinary tract ultrasound. the dog was worked up at the referring vets, an the cheistry was normal and culture of the urine was negative for bacterial growth. the bladder and prostate appeared normal. The left kidney…
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Mindray machine artefact
I am attaching the video of the liver. Whenever I scan liver, I get this. Like you can see in the video, there is kind of a curtain which seems to be arising from the probe and giving an impression that the middle of the liver is hyperechoic. I always get it when I scan…
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Hepatic mass or not
12-year-old male neutered daschund was presented for oronasal fistual repair. Pre-anesthetic blood test showed very mildly elevated ALT and ALP. In general, happy dog with moderate to severe periodontal disease. BCS 9/9. US showed heterogenous plumpy liver. There is a suspicion of a mass on the right side of the liver which kind of fades…
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Is it parathyroid tumor
A 13-year-old female neutered daschund was presented with persistent hypercalcemia. Abdominal ultrasound and chest radiographs were unremarkable. No evidence of neoplasia was found. Parathyroid glands were scanned and I think there is a nodule on the left parathyroid gland. Can you please confirm
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central renal cyst vs. hydronephrosis?
16 year old FS DLH. Mild azotemia BUN 32, creat 2.2, HCT 25% (anemia seems disproportionate to degree of azotemia). Would you consider the left renal pelvis moderately dilated? No uroliths seen, ureter could be picked up more distally and looked normal. Would you be thinking chronic urolith passage/fibrosis/infection? Then her right kidney has what…