COVE: Center of Veterinary Excellence

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Waukesha, WI
COVE: Center of Veterinary Excellence

The COVE, a veterinary outpatient imaging center in Waukesha, WI, provides advanced imaging for faster diagnostics.

Services include CT scans, echocardiograms, ultrasounds, and sampling, all interpreted by board-certified specialists for accuracy.

06/20/2025

The COVE is opening June 26th! All-inclusive single site CT scans for $1200—no added costs, no hidden fees. CareCredit accepted for flexible payment options.

📞 Call 947-500-COVE (2683) or click below to get on our schedule!
🔗 https://www.cove-vet.com/contact-veterinary-imaging-specialists
📍 27200 Haggerty Road, Suite B14, Farmington Hills, MI 48331

06/19/2025

WEEK 7: Cracking the Case with CT for Soft Tissue Mass Evaluation

When a mass is detected, time matters. CT offers a fast, detailed view of soft tissue tumors—differentiating them from surrounding structures, determining invasiveness, and guiding both surgical and oncologic planning.

📍 Case Highlight:
Patient came to The COVE after two weeks of progressive left hind limb lameness. By the time of evaluation, he was non-weight bearing with noticeable edema.

🔍 CT Results:
- A 9.5 cm mildly contrast-enhancing, fluid-attenuating mass in the proximal medial left hind limb, most likely arising from the adductor brevis muscle
- No bony involvement seen—critical for surgical consideration
- Enlarged left inguinal and medial iliac lymph nodes raised concern for possible spread
- Mild limb edema likely secondary to the mass
- An incidental subcutaneous lipoma also noted

🔬 Next Steps:
Ultrasound-guided biopsy confirmed the need for oncologic intervention. Whiskey’s care team used the clear anatomical roadmap from the CT to guide a safe and targeted tissue sampling.

🧠 Takeaway:
CT helped distinguish tumor from normal tissue, assess lymph node status, and enable biopsy and treatment decisions—all in one visit.

📷 Full Case Study Here: https://hubs.ly/Q03lj9nf0

06/12/2025

WEEK 6: Cracking the Case with CT to Investigate Abdominal Masses

CT Indication: Abdominal Masses
From incidental findings to surgical planning, CT helps precisely localize masses, determine vascular involvement, and evaluate for metastasis—all critical steps before intervention.

Case Highlight:
Patient had been diagnosed with Cushing’s disease, but his clinical signs didn’t quite match. An abdominal ultrasound raised concern about a right adrenal mass with possible vascular invasion, so he was referred for CT to map the anatomy for surgical planning.

🔬 What CT Revealed:
- A heterogeneously enhancing 3.5cm right adrenal mass with central mineralization
- The mass extended into the caudal vena cava—likely via the phrenicoabdominal vein—causing significant vascular dilation
- Multiple small, ill-defined liver nodules, likely benign
- No evidence of metastasis in the chest or abdomen

🧠 Takeaway:
Patient’s CT gave his care team the precise vascular and soft tissue roadmap needed to weigh surgical risks, rule out obvious metastasis, and proceed with informed decision-making. While adrenal tumors can be aggressive, CT imaging helped the team plan a path forward.

📷 Check out full case study & images here: https://hubs.ly/Q034zJ8_00

06/05/2025

WEEK 5: Cracking the Case with CT for Vascular Anomalies

CT Indication: CT angiography provides precise, 3D visualization of vascular malformations like portosystemic shunts, aneurysms, or vascular ring anomalies—critical for diagnosis and surgical planning.

📍 Case Spotlight:
Patient was originally in for a routine neuter, but his pre-op bloodwork revealed an elevated ALT (529). A follow-up abdominal ultrasound raised suspicion of a congenital portosystemic shunt—confirmed by elevated bile acids.

🔬 What CT Revealed:
- A dilated left gastric vein diverting blood from the GI tract to the caudal vena cava
- A small portal vein post-gastroduodenal junction
- Findings consistent with a congenital extrahepatic portosystemic shunt (left gastrophrenic)
- Incidental finding: duplicated caudal vena cava caudal to L4

💡 Why This Matters:
CT gave the precise vascular map needed to refer patient for surgical correction. Now? He’s living large, shunt-free, and feeling better than ever.

📷 View Carl’s full case study here: https://hubs.ly/Q034zHFD0

05/29/2025

WEEK 4: Cracking the Case with CT Case for Lameness Investigation

CT Indication: When physical exams and radiographs don’t tell the full story, CT can uncover subtle bone lesions, joint changes, or soft tissue injuries that help pinpoint the root cause of lameness.

📍 Case Highlight:
Patient came in with persistent left forelimb lameness, but X-rays were inconclusive. There were some suspicions—elbow changes, possible stifle OCD, maybe even a cranial cruciate tear—but nothing definitive.

🔬 What CT Revealed:
- A fragmented medial coronoid process of the left ulna, along with elbow osteoarthritis
- Right elbow medial flexor tendinopathy
- Bilateral stifle osteoarthritis, with focal irregularity at the insertion of the cranial cruciate ligament
- No OCD or obvious ligament tears were seen—but crucially, they couldn’t be ruled out either

💡 Why This Matters:
CT provided a comprehensive view of the patient’s elbows and stifles, helping guide next steps. He’s now scheduled for a surgical consult with a clearer picture of what’s going on—and a better shot at pain-free field days ahead!

📷 View full case study with images here: https://hubs.ly/Q034zDWp0

05/23/2025

At The COVE, patient safety is our top priority, and Dr. Tom Day, our Staff Anesthesiologist, ensures every pet receives the highest level of care during imaging procedures.

✨ How Dr. Day Supports Our Team:
🔹 Oversees anesthetic protocols to ensure safe & smooth procedures 🏥
🔹 Provides expert guidance & remote support for complex cases 🔬
🔹 Trusted resource for additional procedures when needed 🤝

With Dr. Day’s expertise, we prioritize comfort, safety, and the best possible outcomes for every patient.

05/22/2025

WEEK 3: Cracking the Case with CT for Nasal & Sinus Disease

CT Indication: From chronic sneezing to facial swelling, nasal CT gives us a detailed view to identify obstructions, tumors, or infection—helping guide effective treatment and planning.

📍 Case Highlight:
Patient was experiencing severe reverse sneezing, facial swelling, and bloody discharge from her left nostril—despite multiple rounds of antibiotics. With her breathing worsening, a CT scan was ordered for a deeper look.

🔬 What CT Revealed:

- A 5.4 cm contrast-enhancing mass in the left nasal cavity, extending into the cranial vault and caudal orbit
- Bony destruction of the cribriform plate and left hard palate
- Obstruction of the left choana with extension across midline
- Findings most consistent with nasal adenocarcinoma

💡 Why This Matters:
CT allowed the family and primary DVM to fully understand the extent of the disease and create a compassionate, palliative care plan. Though the findings were difficult, they helped guide a decision rooted in love and clarity.

📷 View the full case study here: https://hubs.ly/Q034zJyH0

05/21/2025

At The COVE, precision matters—and Tom McNeill, our Radiology Director, ensures every scan meets the highest standards! 💙

✨ Why We Rely on Tom:
🔹 Imaging expert – trains our team on equipment & positioning
🔹 Attention to detail – reviews patient records before imaging
🔹 Always available – provides remote support when needed

With Tom’s expertise, every scan is optimized for clarity, accuracy, and diagnostic value. Your patients are in the best hands! 🐾

05/15/2025

WEEK 2: Cracking the Case with CT for Thoracic Met Checks & Lung Masses

CT Indication: Quick, clear scans to evaluate for metastasis or primary thoracic tumors—critical for surgical planning and treatment decisions.

📍 Case Highlight:
A patient presented with a football-sized, progressive mass on the left flank. With suspicions ranging from fibrosarcoma to nerve sheath tumor, CT was requested to evaluate internal spread and guide surgical planning.

🔬 What CT Revealed:
- A 15 cm subcutaneous mass effacing surrounding muscle tissue
- No evidence of lung metastasis
- Multiple nodules in the spleen and liver—raising concern for possible metastatic spread
- Sternal lymph node within normal limits

📌 Why This Matters:
CT provided rapid, full-body insights—confirming clean thoracic imaging (green light for surgery) while flagging potential metastasis in the spleen and liver. These findings helped direct additional testing and allowed for informed, timely decision-making by the care team.

📷 View the full case study: https://hubs.ly/Q03ljzhc0

05/13/2025

If you've worked with SVS Imaging, you already know Carri Underwood—one of our beloved mobile sonographers and now, Client Experience Manager at The COVE in Farmington Hills, Michigan! 💙

✨ Why We Love Carri:
🔹 Seamless experience – guiding pet owners with care & clarity 🤝
🔹 Master of logistics – keeping our scanning schedule on point 📅
🔹 Advocate for safety – ensuring top-tier protocols & compliance 🏥
🔹 Client-first mindset – refining services based on real feedback 💬

From admissions to aftercare, Carri ensures every visit feels effortless. Have a patient to refer? You’re in trusted hands!

05/09/2025

As the President of The COVE, Dr. Fred Gromalak is the man with the plan. 🚀 He oversees high-level operations, ensuring everything runs smoothly and efficiently. His leadership keeps us focused on the big picture, with a sharp eye on every detail.

From driving innovation in veterinary care to shaping the culture at The COVE, Dr. Gromalak is the mastermind behind our success. Whether it's refining workflow or fostering growth, he’s the visionary leading the charge. 💡

👏 Show your appreciation for Dr. Gromalak in the comments!

05/08/2025

We’re launching a new case study series "Cracking the Case with CT" to highlight how advanced CT imaging helps uncover what’s really going on—when symptoms alone aren’t enough.

Each post in this series will explore a different indication for CT, including:

✔️ Neurologic evaluations
✔️ Lameness investigations
✔️ Soft tissue masses
✔️ Ureteral or vascular anomalies..and much more.

🧠 WEEK 1: Brain Imaging for Seizures, Head Tilt, and Balance Issues

🔍 Case Highlight: A patient presented with a subtle head tilt, intermittent menace response, and gait abnormalities. CT imaging revealed a 2cm intra-axial cerebellar mass and a second contrast-enhancing lesion—underscoring the value of advanced imaging in guiding next steps for care.

📖 Read the full case study and review images here: https://hubs.ly/Q03ljGPf0

🤿 Stay tuned each week as we dive into real CT cases—and show how timely imaging can make all the difference for our patients.

Address

301 Commerce Street, Suite H
Waukesha, WI

Opening Hours

8am - 5pm

Telephone

+12623665970

Website

http://cove-vet.com/

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