{"id":12932,"date":"2023-01-28T14:25:50","date_gmt":"2023-01-28T14:25:50","guid":{"rendered":"https:\/\/www.imv-imaging.com\/?post_type=learning-resource&#038;p=12932"},"modified":"2023-01-30T19:31:29","modified_gmt":"2023-01-30T19:31:29","slug":"small-animal-veterinary-case-study-betty-bell-the-spaniel","status":"publish","type":"learning-resource","link":"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/","title":{"rendered":"Small animal veterinary case study &#8211; Betty Bell the spaniel"},"content":{"rendered":"<p><strong>History<\/strong><br \/>Betty was presented on 14\/5\/14. During an echo to investigate a murmur, it had been noted that she had cranial abdominal pain so she was referred for investigation and an abdominal scan. Appetite was good and body weight was stable. She was not PUPD.<\/p>\n<p><strong>Physical examination<\/strong><br \/>On clinical examination, she was bright and alert and in good body condition at 15.5kg. There was evidence of cranial abdominal pain. A grade IV\/VI systolic murmur was auscultated. Physical exam was otherwise unremarkable.<\/p>\n<p><strong>Laboratory<\/strong><br \/>In house clotting times (PT and APTT) were within reference interval. Platelet count was adequate for haemostasis and PCV was 37%. Venous blood gases were unremarkable. Haematology and biochemistry were fairly unremarkable<\/p>\n<p><strong>Diagnostic imaging<\/strong><br \/>An abdominal ultrasound was performed. There was no free fluid and no enlarged abdominal lymph nodes. Both kidneys showed increased cortical echogenicity which is a common non-specific age-related change. The spleen was unremarkable. The urinary bladder was unremarkable. There was a cystic lesion within the tip of one of the liver lobes on the left side. FNAs were obtained from this area and a dark brown\/red fluid was retrieved which had a PCV of 4%. Fluid analysis revealed a cystic fluid containing red blood cells. Some sludge was identified within the gall bladder.<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"344\" src=\"https:\/\/www.imv-imaging.com\/wp-content\/uploads\/2023\/01\/image-1.jpg\" alt=\"\" class=\"wp-image-13103\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"344\" src=\"https:\/\/www.imv-imaging.com\/wp-content\/uploads\/2023\/01\/image-2.jpg\" alt=\"\" class=\"wp-image-13107\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"344\" src=\"https:\/\/www.imv-imaging.com\/wp-content\/uploads\/2023\/01\/image-3.jpg\" alt=\"\" class=\"wp-image-13111\"\/><\/figure>\n\n\n\n<p>Chest radiographs were unremarkable.<\/p>\n\n\n\n<p><strong>Diagnosis: Cystic liver lesion<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"345\" src=\"https:\/\/www.imv-imaging.com\/wp-content\/uploads\/2023\/01\/image-4.jpg\" alt=\"\" class=\"wp-image-13115\"\/><\/figure>\n\n\n\n<p><strong>Follow-up<\/strong><\/p>\n\n\n\n<p>Betty underwent exploratory surgery to remove the affected piece of liver. This was successfully excised and histology confirmed that this was a benign lesion consistent with cystic hyperplasia of the bile ducts. Betty has had an uneventful recovery from surgery<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"author":2,"featured_media":13100,"menu_order":212,"template":"","meta":{"_acf_changed":false,"content-type":"","ep_exclude_from_search":false,"footnotes":""},"modality_lr":[434],"format_lr":[509],"category_lr":[261],"clinical_application_lr":[435],"class_list":["post-12932","learning-resource","type-learning-resource","status-publish","has-post-thumbnail","hentry","modality_lr-ultrasound-us","format_lr-case-study-us","clinical_application_lr-abdomen-us"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v26.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Small animal veterinary case study - Betty Bell the spaniel | IMV imaging<\/title>\n<meta name=\"description\" content=\"Small animal veterinary case study - Betty Bell the spaniel\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Small animal veterinary case study - Betty Bell the spaniel\" \/>\n<meta property=\"og:description\" content=\"Small animal veterinary case study - Betty Bell the spaniel\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/\" \/>\n<meta property=\"og:site_name\" content=\"IMV imaging\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/imvimaging.northamerica\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-30T19:31:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.imv-imaging.com\/wp-content\/uploads\/2023\/01\/betty-bell.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"770\" \/>\n\t<meta property=\"og:image:height\" content=\"400\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@IMVimaging\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/\",\"url\":\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/\",\"name\":\"Small animal veterinary case study - Betty Bell the spaniel | IMV imaging\",\"isPartOf\":{\"@id\":\"https:\/\/www.imv-imaging.com\/us\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.imv-imaging.com\/wp-content\/uploads\/2023\/01\/betty-bell.jpeg\",\"datePublished\":\"2023-01-28T14:25:50+00:00\",\"dateModified\":\"2023-01-30T19:31:29+00:00\",\"description\":\"Small animal veterinary case study - Betty Bell the spaniel\",\"breadcrumb\":{\"@id\":\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/#primaryimage\",\"url\":\"https:\/\/www.imv-imaging.com\/wp-content\/uploads\/2023\/01\/betty-bell.jpeg\",\"contentUrl\":\"https:\/\/www.imv-imaging.com\/wp-content\/uploads\/2023\/01\/betty-bell.jpeg\",\"width\":770,\"height\":400},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.imv-imaging.com\/us\/academy\/small-animal-veterinary-case-study-betty-bell-the-spaniel\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.imv-imaging.com\/us\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Learning Resources\",\"item\":\"https:\/\/www.imv-imaging.com\/us\/academy\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Small animal veterinary case study &#8211; 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