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Quick Reference of Normals and Rules of Thumb

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 Spleen size is subjective. A spleen that extends to a small or medium‐sized urinary bladder is considered enlarged.

 A folded spleen in a cat is always as a general rule considered abnormal and indicates splenomegaly (Hecht 2008).

 Normal cat spleen thickness is <10 mm (Reese et al. 2013).

 Benign nodular hyperplasia usually consists of nodules that are of homogeneous echotexture being either hypoechoic or hyperechoic.

 Single target lesions have a high predictive value for malignancy. When multiple target lesions are seen, the positive predictive value of malignancy increases from 74% to 81% (Cuccovillo and Lamb 2002).

 Normal echogenicity rule of thumb: the spleen (S) is more echogenic (hyperechoic) than the liver (Li) which is the same or slightly more echogenic (brighter) than the cortex of the kidney (CK), remembered as S > Li ≥ CK or by the mnemonic “SLiCK.” For the feline, hepatic echogenicity is often compared to the adjacent falciform fat and the feline liver should be isoechoic to slightly hypoechoic to the falciform fat.

Point-of-Care Ultrasound Techniques for the Small Animal Practitioner

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