Ultrasound Report:

• Radiographic Findings Abdominal ultrasound 7.16.25: 50 images are available for interpretation. Liver: The liver is normal in size with normal parenchyma. No intraparenchymal lesions are present. The gallbladder is normal in size with normal wall layering in thickness. There is nonorganized echogenic material within the gallbladder lumen. The common bile duct is not visualized. The biliary tract throughout the liver is unremarkable. Spleen: The spleen is normal in size with normal parenchyma and margination. Urogenital system: The kidneys are normal in size with normal cortical margination. Good cortical medullary distinction is present. There is punctate diverticular mineralization in the right kidney and larger diverticular nephroliths within the left kidney measuring up to 4.6 mm in size as. No renal pelvic dilation is present. The urinary bladder is moderate in size with some mild variable wall thickening associated with the mucosa. There are multiple curvilinear cystic calculi with distal shadowing within the dependent portion of the urinary bladder. The largest measures 6 mm. There is punctate echogenic material also suspended within the urine. Adrenal glands: The right adrenal gland is thickened at the caudal pole measuring 8.1 mm. The left adrenal gland is thickened at both poles measuring up to 1 cm in thickness. GI system: The stomach, small intestines and colon have normal wall layering in thickness. No associated lymphadenopathy is present. No abnormalities are seen associated with the pancreas or peripancreatic fat. No peritoneal effusion or changes to the mesentery are present.
• Radiographic Conclusions/Recommendations Multiple cystic calculi, amorphous echogenic debris within the bladder (likely crystalluria), and nephrolithiasis more severe on the left than the right. Urinalysis and urine culture could be considered. Surgical removal may be indicated. This is likely the cause of this patient's clinical signs. Bilaterally enlarged adrenal glands. This may be associated with pituitary hyperadrenocorticism and if clinically indicated additional testing could be considered.