hello and welcome to this case from first opinion veteranary ultrasound I'm Dr Camila Edwards this case was a 7-year-old female nuted domestic shorthaired cat with a history of inhabitance and lethargy who collapsed the day before but recovered with conservative treatment so let's have a look at some of these images from the abdominal ultrasound so here we've got the liver we've got the diaphragm down here this hyper eoic line um and we've got the liver panone here we've got the gallbladder in this section here this is a moving image and in this gallbladder there is a little bit of sediment it's a little bit difficult to see on this image um some hyper aoic sediment falling to the dependent side on this image we've got um the region of the left limb of the pancreas so we've got the spleen in the near field we've got the stomach cranial um and we to get our landmarks for the left limb of the pancreas we really want the left kidney or the transverse colon on the right hand side of the image however we're pretty close to that and we've got the splenic vessels coming in here and this hypo aoic structure here is actually the left limb of the pancreas now that is quite dark compared to the surrounding tissue um so that is an indicator for pancreatitis here we can see a moving image so we've got our spleen in the near field we've got our stomach popping in and out of view and our kidney popping in and out of view we've got Loops of intestine and there we've got our left limb of the pancreas so here focusing a bit more on this left limb of the pancreas which we can see here this hypo aoic structure can just about make out the pancreatic duct running through the center of it um but certainly this is a very prominent left Lim of the pan pancreas very um um uh dark much darker hypo aoic than we'd expect and a surrounding tissue much brighter than we'd expect moving on to looking at the intestines so here we have a loop of gunum in longitudinal so we've got the Lumen running through the center the dark mucosa the lighter sub mucosa the darker muscularis and then the bright white s Roa on the outside now we're measuring from the Lumen to the edge of the Sosa and that's coming out at um2 CM so it's not particularly thickened I would just mention that I think the muscularis is slightly more prominent than than usual so that can be an indicator of inflammatory Vel disease um it can also be lymphoma but this is a really subtle change in this cat so just a moving image we can see that bright Lumen running through the center center of the two walls that we can see so in this case we had sediment in the galbladder which indicates a slight delay and bil emptying this can be seen with chitis but it can also be an incidental finding the muscularis wall layer in the small intestine was very slightly more prominent than we'd expect this can be increased with inflammatory bowel disease and with neoplasia like lymphoma biopsy would be required to diagnose that and there was also some evidence of pancreatitis so the pancreas was much darker than we'd expect and the surrounding tissue much brighter and we see that because there's a sto titis so the fat is more reactive around the pancreas so it makes the pancreas more prominent so combined these three things might indicate a triaditis
