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VETE RI I{ARY RADIOLO GY (Rou Htrs AN D consulrArrons}PATIENT: urleDATE: 4.24.L*

ABDOT,IIHAL U LTRA$OIJHD H,EFORT

1" LIIfERNsrmal BAbnormal trNal lrnaoed -

3 L. KIDflEYHormal trAbnormal trNot Imaced n

{. R, KIDI{EYNqrmal EAbnormal trN6i ImraF.{ n

E, SPLEEIINormal BAbnormal nNaf Tneaed l..I

6. PA'ICRIAENormal trAbnormat trNot Imaqed n

7. STOldAEllNormal nAbnormal trNot Tmeaed n

E. gll. IilTlslNormalAbnomatNot Imaqed

N. GOLONNsrmat trAbnormal trNot Imaoed n

rg. L. ADRIHALNormal BAbnormal trNot Imaoed n

11. B. ATRIHALNormal trAbnormal trNot Imgq€d tr

ll.LYtrl. HgDlsNormel BAbnormgl trNot Imeoed n

13. U. EI.AEDNormElAbnormalNot Imaqed

tF.trtrtr

14. RIFRO.SYS.Norrnal trAbnormEl !Not Imaoed B

1I. FIRIT. AAVNormal trElluelon troth€r tr

dommentr:There'ls a lrlildly etrlargetl, hypoechoic psncress snd there ie diffuEe Gl wall thiekeningwlth mumsal tiregulartty and promlnent wall layerlng. The stomach rugal fiolds areenlarged and the stomach wsll mesEures up to .89 cm (norrnsl stomach wall messur€sup to .2 to ,rt4 cm) and the lntestlnal walls measure up to ,26 cm (normal lntestlnalwalls measure up to ,21 cm st the Jejunum). There arc small mueosal ulceratlonsnoted along the antrum of Sre stomach that are vlsuallzed as trapped conlcal shapedgas wlthln the surFace of the mucosa. Thene Erc no foretgn bodles vlsuallzed ln the GI-onographlcally at thls tlme. The presence of an esophageal forelEn body cannot be

comoletelv exeluded wlth the hlstont,arnlratar or bloorlaa obtelnad:

Dlrcnorlc /d ltierentlalr:rnlldpancreatltls/Pancreatlchyperplaslaandtherels

ulcerailve gastroenterltls mast llkely due to the hlstory of dletary lndlscrctlon. Anunderlylng lnflarnmatory bowel dlsease cannot be excluded and rlo an a*eoclatedesoohaoltle.

Fgcorm€ndatlanr:Symptomatic therapy for esophagitiE and ulcerative gastroenteritis Eould be initiated asclintfulfi lndtcated end radlographs of the thorax Bnd cervlcnl neck reglon mey be helpfults further assess the esophagus. Recheck as clinically indieated ta rnonitor the findingsand endoscopy wlth blopsles may be cllnlcally lndlsated to eonflrm a dlagnosls of the GIfindinos esoeeiellv if the clinical sions oersist or $,orsen desoite medical manageffient.

lxsmlned byl Ann L, Reed, DVM, MS, BACVR

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