VETERINARY RADIOLOGY (ROUNDS AND CONSULTATIONS)

PATIENT: Feline

DATE: 4-26-12

                            

ABDOMINAL ULTRASOUND REPORT

 

1. LIVER

Normal         

Abnormal     

Not Imaged  

2. G. BLADDER

Normal         

Abnormal     

Not Imaged  

3 L. KIDNEY

Normal         

Abnormal     

Not Imaged  

4. R. KIDNEY

Normal         

Abnormal     

Not Imaged  

5. SPLEEN

Normal         

Abnormal     

Not Imaged  

6. PANCREAS

Normal         

Abnormal     

Not Imaged  

7.  STOMACH

Normal         

Abnormal     

Not Imaged  

8. SM. INTEST.

Normal         

Abnormal     

Not Imaged  

9. COLON

Normal         

Abnormal     

Not Imaged  

10. L. ADRENAL

Normal         

Abnormal     

Not Imaged  

11. R. ADRENAL

Normal         

Abnormal     

Not Imaged  

12.LYM. NODES

Normal         

Abnormal     

Not Imaged  

13. U. BLADDER

Normal         

Abnormal     

Not Imaged  

14. REPRO.SYS.

Normal         

Abnormal     

Not Imaged  

15. PERIT. CAV

Normal         

Effusion        

Other            

 

Comments:

The current study is compared to a prior study dated 4-11-12. There is a persistently sonographically mildly enlarged liver with homogeneous, mildly hyperechoic dense parenchymal architecture compared to the falciform fat.  The liver lobe margins are still mildly rounded and the gallbladder is unremarkable at this time.  There is mild diffuse GI wall thickening with mucosal irregularity and prominent wall layering.  The stomach rugal folds are mildly enlarged and the stomach wall measures up to 6.4 mm compared to prior measurements of 11 mm and the intestinal walls measure up to 3.2 mm compared to prior measurements of 3.6 mm.   There is a persistently mildly enlarged, mildly hypoechoic left limb of the pancreas noted and the left kidney is not visualized due to prior surgical removal.  The right kidney is enlarged in size and smoothly marginated with a hyperechoic, thickened renal cortex and reduced corticomedullary junction visualization. There right renal pelvis is normal at this time.

Aspirates or biopsies obtained:

     

Diagnosis/differentials:

There is sonographic evidence of resolving cholangiohepatitis/hepatic lipidosis with medical therapy and there is mild pancreatitis/pancreatic edema/hyperplasia.   There is mild gastroenteritis at this time most likely due to underlying inflammatory bowel disease.  There is interstitial nephritis and compensatory hypertrophy in the right kidney and the sonographic findings have improved compared to the prior ultrasound examination with medical management and the feeding tube present.

Recommendations:

Continue with symptomatic therapy and supportive care as clinically indicated.  FNA or biopsies could be performed if the patient's signs and lab work findings reoccur or worsen despite medical management.

  Examined by:  Ann L. Reed, DVM, MS, DACVR