Abdominal ultrasound examinations of 20 dogs with confirmed leptospiro
sis were reviewed retrospectively for renal abnormalities, Three dogs
had a normal ultrasound examination. The remaining 17 dogs had sonogra
phic abnormalities of the kidneys. These abnormalities, seen either al
one or in combination, included renalmegaly (n = 10), pyelectasia (n =
9), increased cortical echogenicity (n = 15), perinephric effusion (n
= 5), and a medullary band of increased echogenicity (n = 6), At our
institution, the medullary band of increased echogenicity has only bee
n seen in dogs with leptospirosis and may therefore be a specific sono
graphic sign for this disease.