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Originally Posted by kjc  Betty appears to be offline.... MVD Multivascular dysplaysia... symptoms can be the same as Liver Shunt... but no shunt... not operable, treatment with special diet and meds if necessary.. In general, the architecture of the liver is askew and causes it not to function very well.
Small liver is also a sign of shunt... they are hard to see on xray and ultrasound unless the vets are superexperienced in looking for them. |
Small liver is a sign of MVD as well.
It's not Multivascular Dysplasia, it is Microvascular Dysplasia. It is incorrect to say that MVD is not a shunt. Hepatic Microvascular Dysplasia is microscopic shunting of the liver. Blood is still shunted from being cleansed by the liver and ammonia is still building up in the blood and still can cause symptoms but since there is no single shunt to close off surgically, it can only be managed medically not surgically.
I agree that the ultrasound reader is of paramount importance and I would make sure the ultrasound is done by a board certified radiologist who is working in tandem with internal medicine.