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?
Figure 1: Right lateral view
Figure 2: Ventrodorsal view
Additional Imaging
Interpretation