C09990490 / invoice 10000

Patient and Case DetailsPatient Name: Gypsy  Species/Breed:  Age / Sex / Weight: 11 years / F /  Owner Name (optional):  Referring Veterinarian / Clinic:  Date of Study: 05/03/2026  Anatomical Region of Study: Full abdominal ultrasound  Imaging Overview: Complete abdominal ultrasound performed. Patient was imaged in both left and right lateral recumbency. Images are of good diagnostic quality.History / Clinical ConcernThe patient presents with a 3-day history of vomiting and diarrhea. The patient vomited 10-15 times yesterday. Bloodwork performed yesterday was unremarkable for biochemistry, showed an elevated red blood cell count suspected to be secondary to dehydration, and low platelets, which were confirmed to be due to a clot on a blood smear.FindingsLiver: Normal hepatic architecture, hypoechoic to spleen, margins normal    Gallbladder and Biliary System: The gallbladder is full of anechoic bile with a small amount of gravity-dependent sludge. There is no evidence of a mucocele. It measures 1.96 x 2.85 cm in transverse.    Spleen: The splenic tail was evaluated and no mass was identified.    Kidneys:-   Right kidney: Measures 3.5 x 2.3 cm in longitudinal and 3.3 x 2.4 cm in transverse. There is a mild loss of corticomedullary distinction. A possible renalith is present, measuring 4 x 6 mm.-   Left kidney: Measures 2.7 cm in longitudinal and 2.9 cm in transverse. There is a mild loss of corticomedullary distinction.  Urinary Bladder: Full of anaechoic urine, wall non-thickened    Stomach and Small Intestine:-   Stomach: Contains gas. The gastric wall is mildly thickened with thickened rugal folds.-   Small Intestine: The duodenum has a diameter of 0.7 cm. There is adequate gut motility with no signs of ileus.  Colon: Contains gas, normal wall layering.    Pancreas: No evidence of pancreatitis.    Adrenal Glands:-   Right adrenal gland: The caudal pole measures approximately 3 mm.-   Left adrenal gland: Measures 0.7 cm.  Lymph Nodes: No evidence of lymphadenopathy.    Peritoneal Cavity: No free fluid is noted.    Other Structures / Comments:Impressions / Interpretation1.  The sonographic findings of a mildly thickened gastric wall and prominent rugal folds are suspicious for gastritis.2.  A possible right renalith is identified. The mild loss of corticomedullary distinction in the right and left kidneys is likely an age-related change, as there are no biochemical indicators of chronic kidney disease at this time.3.  There is no sonographic evidence of a biliary mucocele, pancreatitis, or intestinal obstruction.Overall: Suspect AHDS with subsequent mild gastric inflammation (gastritis) due to chronic vomiting episodes over the last few daysRecommend continuing with anti-nausea (ondansetron) as we have seen an improvement in appetitie and vomiting+    Vital Signs    Weight: 4.5;