1. K-State home
  2. »College of Veterinary Medicine
  3. »Veterinary Health Center
  4. »Health Center Services
  5. »Small Animal Hospital
  6. »Radiology
  7. »Case of the Week
  8. »Weeks 11 - 20
  9. »Week 14

Veterinary Health Center

Week 14

Signalment Species

SpeciesCanine
BreedShih Tzu
SexF/S
Age1yr

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