7 year old Turkish Van

Findings

On abdominal radiographs, the liver, spleen, and kidneys are enlarged. There is a moderate amount of feces in his colon consistent with his history of megacolon. There is a gas diated loop of small intestine in the right ventral abdomen that indicates a mild, focal enlargement and possible small intestinal obstruction.
On ultrasound examination, there is hepatomegaly and a small amount of free peritoneal fluid. The liver is hypoechoic (US image 1)*. The spleen is enlarged with a lacy pattern (US image 2). Both the left and right kidneys are markedly enlarged (US images 3 and 5). The left kidney has mild pyelectasia (US image 3) and a small rim of hypoechogenicity (US image 4). There is a small intestinal mass with thickened wall (6 mm) and loss of wall layering in the jejunum (US image 6). Multiple abdominal lymph nodes are enlarged and hypoechoic (US image 7).
* Hover over image thumbnails for image title