What Is Your Diagnosis?

Abstract

HistoryA 3-year-old sexually intact male Pekingese was evaluated for anorexia, vomiting, and lethargy of 3 days' duration and a history of weight loss of unknown duration. On physical examination, the dog was underweight and had a grade 3/6 systolic cardiac murmur and only 1 small scrotal testicle. Radiographs of the abdomen were obtained, and ultrasonography of the abdomen was performed (Figure 1). Determine whether additional imaging studies are required, or make your diagnosis from Figure 1-then turn the page *