Romo
British Shorthair
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Radiographic Report
Radiographic interpretation: Moderate cardiomegaly with only mild pulmonary venous distention, but no atrial dilation noted on the VD view. There is a heavy ventral interstitial to alveolar pattern both caudal and cranial to the heart with mild pleural effusion suspected. Both of these are found almost exclusively in the left lung and thorax.
Radiographic diagnosis Heart disease with pulmonary edema likely (CHF).
Clinical interpretation / additional case information: Echocardiographic examination revealed findings consistent with restrictive cardiomyopathy. Hypotension and hypothermia are manifestations of low cardiac output. Treatment with furosemide and enalapril was initiated.
Clinical History
Signalment: 8yr old MC British Shorthair
Clinical history: No previous history of cardiac disease. Romo’s recent total T4 was normal at 2.2mg/dl. The owners report that Romo has increasing lethargy over the past 36 hours, a decreased appetite and increased breathing rate with increased respiratory effort. Upon presentation at the veterinary emergency hospital, there was no gallop heart sound or heart murmur identified but the Romo’s body temperature was 90 degrees F. and his systolic blood pressure was low (100mmHg). Bilateral pulmonary crackles were noted.
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