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  • benign liver mass?

    10 year old FS Airedale mix presenting for hematuria. We are working up the bladder – very thick walled, but stumbled upon this rounded mass in her mid liver. Blood work = very mild ALP elevation. Considering FNA. Sorry, your browser does not support embedded videos.

  • help confirming which liver lobe

    13 year old MN Belgian Malinois – concern for irregular liver lobe. FNA pending. I struggle with naming which lobe – quadrate? left middle?

  • 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…

  • hepatic mass

    Angel is a 16 year old ~15 pound mix that was presented earlier this week for vomiting and diarrhea of a few days duration. (She has had elevated renal values for several months but on this visit also  showed elevation in alt (off scale, dont have after dilution values available to me at this time),…

  • Is the liver hypoechoic

    A male neutered persian cat of 4 years of age was presented with acute onset of vomtiing. The cat just finished 7 days course of itraconazole for ring worm treatment. The owner mentioned that the cat had vomited before also when it completed 7 days of itraconazole treatment. Blood test showed ALT value 1280 and…

  • Liver Pathology

    Two posts in one day. I would like an opinion on this case too. Neeko is a 13 1/2 year old Border Collie cross that has a large necrotic mass on the left dorsal flank. Cytology is consistent with some sort of Sarcoma. I did some staging today with x-rays and an ultrasound. The ultrasound…

  • Elevated ALT after previous PSS ligation

    Shadow is a 6 year old MN, Miniature schnauzer 14#. Pet had a PSS which was reported as a vessel coming off the the gastric vessel and entering the caudal vena cava. His liver enymes returned to normal as did bile acids. The surgery was done several years ago. Currently has a mild elevated ALT on…

  • Jaundice Patient: Is A Coag Useful & When Do I Sample?

    I recently received this question from a solid colleague/client that I read cases for and support in the clinical sonography technical and business curve and he had an interesting question: SM: I scanned a slightly jaundice dog yesterday. PT was double normal so I did not poke. PTT was WNL. Liver: looked totally norm but…

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