So I took Cody to the specialist in Murrieta to get a consult and an ultrasound. After checking him out, looking at the records from his regular vet and the ultrasound she said in her opinion he should get treatment. She said his gallbladder looked sludgy and his liver and both adrenal glands are enlarged but there are no tumors on any other organs. She said she believed it was pituatary. She said she would start him on a very conservative dose of Trilostane if we decided to treat it. She also said that 2 weeks after we start he will come back for a test than if the dose is ok once a month for 2 months. If he seems to be doing well she said she would do the Pre-Vetoryl Cortisol monitoring like they do in England to monitor his progress. She also recommended doing an echocardiograph to check on his heart murmur and possibly consider removing his bladder stones because one of them is an inch large and his bladder lining looks irritated but only after his cushings is stabilized. There is also something on his liver that they may biopsy when they do the bladder surgery. So much to digest. She is supposed to send the results to my vet and give her a call. Also they did a urinalysis and a cystitus profile to see if maybe the inflammation in the bladder was due to a bacterial infection. I should know by the end of the week.