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Radiology Packet 5. Heart Failure. 8 year Schipperke “Robbie”. Hx: Has a history of coughing and lethargy. A very loud systolic murmur is present, loudest over the apex of the heart on the left. . 8 year Schipperke “Robbie”. RF Heart is too tall and too wide.

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radiology packet 5

Radiology Packet 5

Heart Failure

8 year schipperke robbie
8 year Schipperke “Robbie”
  • Hx: Has a history of coughing and lethargy. A very loud systolic murmur is present, loudest over the apex of the heart on the left.
8 year schipperke robbie1
8 year Schipperke “Robbie”
  • RF
    • Heart is too tall and too wide.
    • Straightening of the caudal cardiac waist, lateral deviation of the right caudal mainstem bronchus on the DV view and increased opacity of the hilar region on DV.
    • Enlarged right cranial lobar pulmonary vein relative to the artery.
    • Consolidating infiltrates are present in the right and left caudal lungs centrally, while the periphery (caudal dorsal) is an interstitial infiltrate. Air bronchograms are noted in consolidated regions (Alveolar pattern).
  • RD
    • Cardiogenic pulmonary edema
    • Chronic left heart failure secondary to mitral valve insufficiency
6 year old mn dsh fatty lumpkin
6-year old MN DSH“Fatty Lumpkin”
  • Hx: Presented for evaluation of lethargy and increased respiratory rate
6 year old mn dsh fatty lumpkin1
6-year old MN DSH“Fatty Lumpkin”
  • RF
    • Cardiac silhouette is partially obscured by increased opacity within the thoracic cavity.
    • The atrial region of the heart appears wide.
    • The trachea is elevated.
    • Retraction of the lung lobes from the thoracic wall.
    • Mild pulmonary vascular congestion is present as well as free pleural fluid (hard to see).
  • RD
    • Hypertrophic cardiomyopathy
    • Congestive heart failure
14 year old domestic long hair cat monty
14-year old domestic long hair cat“Monty”
  • Hx: Presented with dyspnea and lethargy.
14 year old domestic long hair cat monty1
14-year old domestic long hair cat“Monty”
  • RF
    • Greatly enlarged cardiac silhouette.
      • Increased craniocaudal dimension
      • Elevated trachea
      • Increased sternal and diaphragmatic contact
      • Increased width on the DV view
      • Upward deviation of the caudal vena cava toward the heart
    • Markedly enlarged pulmonary vessels.
    • Mild loss of vascular margin clarity.
  • RD
    • Cardiomegaly and pulmonary congestion, mild pulmonary edema
  • R/O
    • Hypertrophic and dilatative cardiomyopathy
    • Pericardial effusion
  • Next: Cardiac ultrasound
2 year old mn angora feline trooper
2-year old MN Angora feline“Trooper”
  • Hx: Presented for evaluation of tachypnea and dyspnea.
2 year old mn angora feline trooper1
2-year old MN Angora feline“Trooper”
  • RF
    • Cardiac silhouette reveals a somewhat “square” appearance to the cranial cardiac margin.
    • In the VD view the atrial region of the heart appears very wide, the ventricular region is obscured by superimposed opacity.
    • Pulmonary vessels are at the upper limits of normal.
    • Interstitial to alveolar lung pattern distributed in the perihilar region and ventral lung fields.
    • In the VD views the pulmonary changes appear to be present in the caudal lung lobes.
  • RD
    • Hypertrophic cardiomyopathy
    • Cardiogenic pulmonary edema
  • R/O
    • Left-sided congestive heart failure
10 year old male miniature poodle
10-year old male miniature poodle
  • Pre-treatment
  • Post-treatment
slide15

Pre-treatment

Post-treatment

2 year old mn angora feline trooper2
2-year old MN Angora feline“Trooper”
  • RF
    • Cardiac silhouette is too tall and too wide, with increased contact and elevation of the trachea.
    • Left atrial enlargement, noted as loss of the caudal cardiac waist and increased soft tissue opacity.
    • A heavy interstitial to alveolar pulmonary infiltrate is present, with the cranial lobes less affected. Thin pleural fissure lines are noted on the DV film, indicating subpleural fluid accumulation.
    • The cranial lobar vessels on the lateral radiograph are prominent.
  • RD
    • Congestive heart failure with severe pulmonary edema
  • Next: Immediate therapy with a diuretic to lessen the pulmonary edema.
6 year old doberman sarge
6-year old Doberman “Sarge”
  • Hx: is easily stressed and has trouble breathing
6 year old doberman sarge1
6-year old Doberman “Sarge”
  • RF
    • Elevated trachea.
    • Heart at upper limits for craniocaudal width. Too wide.
    • Increased cardiophrenic and cardiosternal contact.
    • Partial loss of visualization of the pulmonary vessels (interstitial infiltrate).
    • Accentuation of some of the bronchi/bronchioles due to interstitial infiltrate.
    • Thin pleural fissure line over the heart, large caudal vena cava
    • Lobar border noted between the right middle and caudal lung lobe.
  • RD
    • Cardiomegaly and cardiogenic pulmonary edema
  • Next: Echocardiogram
16 year old dog peter
16-year old dog “Peter”
  • Hx: Presented for lethargy. Has a severe systolic heart murmur.
16 year old dog peter1
16-year old dog “Peter”
  • RF
    • Tracheal elevation
    • Increased cardiophrenic and cardiosternal contact
    • Loss of the caudal cardiac waist
    • Increased soft tissue opacity between the mainstem bronchi on the DV film.
    • Large caudal vena cava.
    • Distended abdomen.
    • Incidental is a mild sternal anomaly (S7-8).
  • RD
    • Marked generalized cardiomegaly
    • Large CVC and impression of abdominal fluid suggest right heart failure
  • R/O
    • Right heart failure
    • Severe RAV and LAV endocardiosis and insufficiency.
    • Infectious vegetative valvular disease.
7 year old mn golden retriever bud
7-year old MN Golden Retriever“Bud”
  • Hx: Presented for evaluation of lethargy, abdominal distension and increased respiratory rate.
7 year old mn golden retriever bud1
7-year old MN Golden Retriever“Bud”
  • RF
    • Increased opacity throughout the thoracic cavity obscures evaluation of the heart and diaphragm.
    • In the VD view the lung lobes are separated from the internal surface of the thoracic wall by a band of soft tissue opacity.
    • The lungs are retracted from the ventral thoracic cavity in the lateral view.
    • There is an overall increase in opacity of the lung fields due to superimposition of the free pleural fluid.
    • An air bronchogram is visible in the region of the right middle lung lobe.
    • Increased size of the liver +/- the presence of free abdominal fluid is suspected.
  • RD
    • Large volume of free pleural fluid
  • R/O
    • Cardiovascular disease
    • Mediastinal mass
    • Other neoplastic disease of the thoracic cavity
    • Hepatic disease
  • Next: Echocardiogram, Thoracic ultrasound