Veterinary Health Center

Week 14

Signalment Species

Species Canine
Breed Shih Tzu
Sex F/S
Age 1yr

Presenting Complaint

Owner noticed urinary incontinence since the first heat cycle. The owner also has noticed ataxia and weakness.

Physical Examination

  • Stenotic nares
  • Urinary incontinence

Hematological Findings

  • GGT - 15 IU/L (<4IU/L)
  • Cholest - 394 mg/dl (105-250mg/dl)
  • Bile acids pre - 27.4umol/L (<8umol/L); post - 55.7umol/L (<30umol/L)
  • T4 - unremarkable
  • Nuclear medicine - 88% shunt fraction
  • UA - unremarkable

What are your initial radiographic impressions?

Radiograph of the Right lateral view

Figure 1: Right lateral view

Radiograph of the Ventrodorsal view

Figure 2: Ventrodorsal view

Additional Imaging

Interpretation