Minnie

Cavalier King Charles Spaniel

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Right Lateral

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Radiographic Report

Radiographic interpretation: The cardiac silhouette is enlarged with a VHS of 12.3 and a VLAS of 2.9. Obvious left atrium and left ventricle enlargement is present. There is a mild increase in nonspecific interstitial opacities, but no overt evidence of pulmonary edema is appreciated. Pulmonary vessels are difficult to assess; the mainstem bronchi appear to be compressed as a consequence of the enlarged heart.

Radiographic diagnosis: Enlarged cardiac silhouette with no evidence of active CHF; airway compression is evident.

Clinical interpretation/ additional case information: An echocardiogram is recommended to better define the nature and extent of the heart disease, but given the degree of changes on the thoracic radiographs coupled with a typical breed and murmur for MMVD, this patient is suspected to have Stage B2 MMVD and treatment with pimobendan (+/- ACEi) is reasonable based on the films alone. In the absence of CHF, the addition of a cough suppressant is also reasonable if the cough is deemed clinically significant.

Close Clinical History

Clinical History

Signalment: 10 year old FS Cavalier King Charles Spaniel

Clinical History: Presented for cough with one documented syncopal episode following a coughing spell. A loud (4/6) left apical systolic murmur was present.

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