You do have one other option. That would be a scintography. If they are worried about a shunt, because she is so young, it may be your best option. I'm sure they don't do it there though, so you may need to go somewhere else.
Has she been spayed? A lot of people elect to do a biopsy at the time of spay because they are in there anyway.
An ultrasound is fine, but if they don't see a shunt, that doesn't mean it's not there. Ultrasound guided biopsy gives very tiny samples and that isn't always adequate.
You could do the explore/biopsy and that sounds like an okay plan, but do you want this specialist fixing a shunt if it is present? How many shunt repairs have they done?
Just some things to consider.
If I had a young dog and the vets wanted to make sure a shunt wasn't present and they didn't feel an urgent need to look in there with ultrasound, then a scintography is what I would be doing. If you can afford to do an ultrasound and then do a scintography if nothing is seen, then that's great. JMO
But it really depends why the IMS wanted the biopsy. If they want to r/o hepatitis, then perhaps just letting somebody go in and look would be best. What does your regular vet think?
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Last edited by Ellie May; 07-21-2011 at 10:29 AM.
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