Hi, all! $1,600 and two months later the (now) premature diagnosis of Cushings is heading out the window! Vet did ACTH stim test to get a pre-treatment level and results came out, unexpectedly, in the "questionable" range. Then on to a low dose dex test -- just got off the phone with the vet. Results fell solidly in the normal range. Very, very frustrating which, as I've read, is the route lots of folks go through. My vet is going to call the internist this week and pick his brain for where we go from here, particularly his thoughts on "atypical Cushings". The vet and I are leaning towards treating liver changes with the milk thistle/Sam-E/Vitamin E protocol and then running labs again in six months and, if necessary, another ultrasound. Meanwhile, Maggie is being her stubborn, beagle self, seemingly oblivious to her pot belly!