hello and welcome to this case from first opinion veterinary ultrasound I'm Dr Camila Edwards so this was a case of a 14-year-old male nuted domestic Shad cat with a history of upper respiratory disease and eye disease which now resolved now was off food and vomiting so here we're scanning the kidney um so we got kidney here um and on first um appearances it it it seems fairly normal there's just one bit that's making me question and it's a bit hyper aoic bit that we see pop into view here just there where the the edge of the kidney indents also so um on closer inspection of this kidney we could see some free fluid in the retrop perenial space and we can also see this indent just there this hyper coic wedge and the margin of the kidney is um not not smooth um slightly irregular it goes in slightly at that hyper aoic point this is very typical for what we see for infarcts in the kidney okay so this is the other kidney and there's again some free fluid around it and we have those irregular margins with some hyper aoic wedges in them very typical for infarcts so we saw some free retrop peraonal fluid surrounding both kidneys the kidneys had irregular margins and there were hyper aoic wedges consistent with infarcts cats with renal infarcts are four and a half times more likely to have hypertrophic cardiomyopathy but in this case a quick cardiac Pocus exam did not reveal an enlarged left atrium
