Referring
Veterinarian: Dr. Scott Fowler		 Clinic Name: VCA Briarcliff Animal Hospital GA
Email: scott.fowler@vca.com


Postal Address:
1850 Johnson Road NE
Atlanta, GA 30306
(404) 874-6393
(404) 881-1517
Client: Grogan, Grogan    
Patient Name Katniss Patient ID 142217
Species: Feline Breed: Domestic Shorthair
Age: 3 years 6 months Sex: Female(Spayed)
Modality/Images : DX/3  Date Of Study: Mon, 27 Mar 2017
Wt.: N/A Temp.: N/A Pulse: N/A Resp.: N/A
Pertinent History*
Katniss presented for wellness and vaccines but has been vomiting a couple times (3-4 times) this past week and again yesterday. She is still e/d well on Purina Cat Naturals. No known toxins and no recent food changes. One episode of soft stool last week but no c/s. On exam, Katniss has a fever at 103.8 with moderate dental disease, no other major finding. Bloodwork pending
Clinical Question*
Appears to have mild enteritis on radiographs; determine if any obstruction is apparent. +/- renal calcification
Findings:
There are 3 radiographs of the abdomen available for interpretation. The stomach contains gas and some well-defined amorphous material in the region of the fundus as visualized on both orthogonal views. The small bowel contains fluid and gas, but is neither distended nor plicated (when compared with the normal feline trans-serosal diameter of 12 mm or when compared with the height of the 2nd lumbar vertebral body). The liver, spleen, kidneys and the urinary bladder are within normal limits.  Normal appearing fecal material is noted in the large bowel. There is no evidence of free fluid or free gas in the peritoneal space. The axial skeleton is within normal limits.
Assessment:
Although the exact nature of the gastric contents is unknown, the possibility of foreign/indigestible material might be considered given the history provided. Recheck radiographs, potentially a pneumogastrogram, after a 12 - 18 hour fast in the hospital might be considered to assist differentiation between food and foreign/indigestible gastric contents.

There is no evidence of small bowel obstruction at this time.  Sooner follow-up radiographs might be considered if clinically indicated e.g. abdominal distention and pain, protracted vomiting, fever etc.

Other differentials to consider include gastritis, pancreatitis, enteritis (which could be viral, bacterial, dietary, parasitic or toxic in origin) etc.  If indicated, consider abdominal ultrasound and/or a barium upper gastrointestinal series for further evaluation of the G.I. tract.
 
Specialist: Dr. Phillip Steyn, BVSc, MS, DACVR  
Phone: (970) 372-4554  
Email: Phillip.Steyn@antechdx.com  
Date of Report: Mon, 27 Mar 2017 10:58:10 EDT  
 
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