hello I'm Dr Camilla Edwards from first opinion veterinary ultrasound this case was a 16 year old female neutered Ragdoll with a history of weight loss so here we can see this cat's liver so we can see some normal parenchyma and we saw the gallbladder there and then as we found through we can see these abnormal hyperechoic but mixed echogenicity areas within the within the liver so there's one up there and one down here so this one and this one here here's the gallbladder and that it's all surrounded by normal looking liver parenchyma so here we've got one of these areas so um we've got some normal liver parenchyma there with some hyperechoic um abnormality surrounding it with a mixed echogenicity internally okay so measuring one of these um tumors we can see that it's measuring over two and a half centimeters so fairly large within this liver of this cap so now we're Fanning through and we can see these nodules and we're turning the probe to get more transverse views so we've got the diaphragm down here and we can see this nodule or tumor here as we found through we can see more of this so some normal liver parenchyma but also these large tumors as well within the liver here we've got some um one of these nodules or tumors and we're placing color doppleron to see how vascular it is um in the hopes that the owners might go for a fine needle aspirate or biopsy of this structure so we can get a diagnosis so we can see this it's not particularly vascular we can see some of the vessels in the normal liver parenchyma but we're not getting much color flow in within the nodule itself okay so more more liver here through that nodule um as well and just getting some color flow mapping on this other nodule again not much flow through that okay so in cat's primary hepatic neoplasia such as hepatocellular carcinoma is relatively uncommon it's more often a secondary spread from spleen pancreas and intestinal tract this cat had had inflammatory bowel disease so its intestinal tract was diffusely abnormal with a thickened muscularis layer so possibly there was actually some primary neoplasia in the small intestines but due to the age of the cat and the condition of the cat the owners decided to euthanize in this case thank you
