This is What Cushings Livers Look Like Cytologically

Ahhh, the Cushings liver 😍

This case fits in a nice little box tied up with a Cushings bow. 🎀

A 14 year old Yorkie presented with PU/PD. His liver was heterogenous and enlarged on abdominal ultrasound, so his liver was aspirated.



Here we can see the hepatocytes are filled with glycogen! Glycogen looks like indistinct cytoplasmic vacuolation cytologically.

An ACTH stimulation test was consistent with Cushings disease. ✔️