Poppy
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Radiographic Report
Radiographic findings
Technical issues: Good exposure, DV view is slightly twisted.
Moderate to severe generalized cardiomegaly is present. VHS 9.5. Diffuse, moderate to severe alveolar infiltrates distributed ventrally in cranial and caudal lung fields bilaterally. Caudal pulmonary arteries appear to be enlarged. Air bronchograms are visible in the right middle lung lobe on the lateral view.
Clinical History
Poppy was seen on emergency service with 6 day history of increased respiratory effort and syncopal episode tonight. Physical exam revealed a bright and alert patient with a gallop rhythm (HR 160 bpm), a 2/6 left sternal border murmur and bilateral pulmonary crackles. A freely movable soft subcutanous mass was palpated over the dorsal spine.