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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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156 <strong>Small</strong> <strong>Animal</strong> Radiolo g y <strong>and</strong> Ultrasono graphy<br />

Fig. 2-132 A 9-year-old male<br />

Doberman Pinscher with a 2-week<br />

history of tachycardia <strong>and</strong> coughing.<br />

The cardiac silhouette is enlarged<br />

markedly. A, On the lateral radiograph,<br />

the caudal cardiac margin<br />

appears straight. There is elevation<br />

of the trachea. B, On the ventrodorsal<br />

radiograph, the left cardiac margin<br />

is rounded <strong>and</strong> the cardiac apex<br />

is round. There is an alveolar pattern<br />

infiltrate in the left caudal lobe <strong>and</strong><br />

interstitial pattern infiltrates<br />

throughout all lobes. Several pleural<br />

fissure lines are identified (arrows).<br />

The radiographic findings are<br />

indicative of generalized cardiomegaly<br />

with evidence of pulmonary<br />

edema. Diagnosis: Dilated<br />

cardiomyopathy with left heart<br />

failure.<br />

A<br />

B<br />

in the 10% to 15% range (Fig. 2-133). 392,393 Doppler studies may be helpful in assessing<br />

valvular integrity.<br />

An area of great interest is the use of echocardiography to identify individuals with subclinical<br />

disease. In one study of Doberman Pinscher dogs, a left ventricular internal diameter<br />

(in end diastole) of greater than 46 mm was present in 13 of 15 dogs that died of DCM

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