“Tucker” is a 12 year old M/N Collie that presented for a 3 day history of vomiting and inappetance.    Physical examination revealed 5-7 % dehydration and icteric sclera and gums.  Abdominal palpation was unremarkable and he was not overtly painful on palpation.  CBC showed mild anemia (HCT 32%) and neutrophilia (neutrophils 24,000).  Chemistry profile showed marked elevation of liver enzymes (ALP 4136 U/L, ALT 935 U/L, GGT 54 U/L) and elevation of total bilirubin (4.7 mg/dl).  A complete diagnostic abdominal ultrasound was requested and the following images were obtained.

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