PMC6055766_01
Transverse ultrasonographic view of the right liver of the dog, showing an extremely heterogeneous and irregularly marginated liver.. Note: Doppler examination of this area revealed decreased blood flow.. Abbreviation: GE, general electric.
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ALT, total bilirubin, albumin, PCV, and total solids revealed an improving ALT of 509 U/L (reference interval 10-100 U/L), normal total bilirubin of 29.1 micromol/L (reference interval 0.0-8.6 micromol/L), decreasing albumin of 19 g/L (reference interval 22-39 g/L), and total solids of 48 g/L, with a normal PCV of 39%. A complete abdominal ultrasound revealed less (unable to sample) peritoneal effusion with dilated hepatic veins and mild enlargement of the right liver lobe with hyperechoic mesentery (Figure 1).
Pre-contrast (A) and post-contrast (B) computed tomography images of the cranial abdomen in soft tissue windows.. Notes: The right kidney (r), stomach (s), and portal vein (*) are present at this level. The torsed liver lobe (t) is irregularly marginated and centrally heterogeneous with poor contrast medium administration; however, it enhances along its peripheral margin with contrast medium. L indicates the left side of the patient.
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The peritoneal effusion had resolved and there was a nonenhancing avascular soft-tissue mass (11.6x9.8x5.7 cm) with some ring enhancement adjacent to the right limb of the pancreas and caudal to the gallbladder (Figure 2).