hello I'm Dr Camilla Edwards from first opinion veterinary ultrasound this case was a domestic short head 13 year old cat who was female and neutered weighing 2.2 kilos she had a history of weight loss having lost 20 of her body weight fairly recently so here we've got the liver we've got the diaphragm down here we've got the level of parenchyma in here and we're just Fanning through and we can see these large fluid-filled areas we can see they're fluid filled because they're full of anechoic fluid and Below them there's acoustic enhancements so it's a bit brighter below those anechoic Pockets that we can see within the liver parenchyma so a different view of the liver parenchyma we've got the diaphragm down here the parenchyma in here and as we fan through we can see these anechoic areas these cystic areas within the liver parenchyma in this view we've got spleen in the near field and then we've got Loops of intestine so we've got um a tiny pocket of free fluid um we can see every every soft run but we can also see that these small Loops small intestinal Loops have got a thickened muscularis layer so um we've got the lumen in the center we can see the Lumen gas passing through there and then the next dark layer is the mucosa and then the musket submucosa which is a light layer and then the muscularis should be a very thin dark layer before the thin cerosal layer but the muscularis in this case is thickened so we can see we're measuring the wall layering here from the Lumen through mucosa submucosa muscularis out to the serosa we can see there's a tiny bit of free fluid there in between the loops of intestine here we've got a lymph node we can see within the abdomen it's quite high power coex and quite dark um it's um fairly rounded so that is um of concern as well in a cat it should be less than half a centimeter and it is just under that so it's something to to watch out for if it's a lymph node we're not used to seeing so um if there are multiple lymph nodes in the abdomen as well then that's a more major concern so here we're measuring that it is well beneath the half centimeter Mark that we worry about in cats so in this case we could see these cystic structures within the hepatic parenchyma and we're certainly very concerned about hepatic neoplasia something like carcinoma being the cause of that we should try and do a fine needle aspirate or biopsy it and the muscularis wall layering this small intestine can be increased with inflammatory bowel disease and also neoplasia so that should also require a biopsy to diagnose that
