Signalment: A 13 year old, castrated male, American Eskimo dog Primary complaint: Cholelith History: This patient was diagnosed with Cushing’s disease 2 years prior to presentation and since then has been treated with Lysodren®. He had a chronic history of cool-seeking behavior, hyperactivity especially at night and excessive panting that was worse with exercise. The most recent finding was a 0.6 cm mineralized cholelith diagnosed via abdominal ultrasound. He was fed a commercial dry dog food (chicken and rice base). He had a ravenous appetite, normal thirst and occasional bouts of loose stool. He lived with another dog and he is the alpha-dog.