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Suspected liver neoplasia with cystic regions
13 year old FS Australian Shepherd. Two months ago, liver enzymes were markedly elevated -ALT 5737, AST 1680, ALP 4986, GGT 8, T bilirubin 2.6. She was lethargic and anorexic at the time. Potentially had eaten some toxic mushrooms (Lepiota spp). Positive for anaplasma and Lyme on 4DX, positive lepto titer (no convalescent taken) and…
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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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Hepatic neoplasia
Thirteen-year old daschund was presented with the complain of lethargy. Blood test showed renal azotemia, hypercalcemia and high ALKP. A tentative diagnosis of renal failure was masde based on the low USG. On X-Ray, liver was enlarged and US showed a plumpy liver. Urine cortisol to creatinine ratio was done to rule out cushing’s and…