14 year-old Neutered Siamese Cat

Patient Demographics and History:

A 14 year old male neutered Siamese cat was examined for inappetence and lethargy with no known vomiting. He is indoor only and is possibly polyuric and polydipsic.   He receives prednisolone for allergic bronchitis.  Masses, possibly representing enlarged kidneys, were palpated in the abdomen during examination.

   

Questions for discussion after reviewing images:

What are the prioritized differential diagnoses based on the survey radiographs?
What are the recommendations regarding either further imaging/diagnostics or therapy, based on the radiographs?

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