Presentation
Presents with 2 possible seizure events.
Patient Data
The cardiac silhouette is markedly enlarged on all projections. The trachea is elevated on the lateral projection, and the cardiac silhouette occupies 3/4 of the thoracic width on the dorsoventral projection. The pulmonary vasculature is moderately enlarged. The diaphragm is flattened and the lungs are hyperinflated. There are several fissure lines evident in the pleural space indicating effusion. In the portion of the abdomen included, there is poor detail. The caudal vena cava is distended. There is bridging spondylosis deformans in the lumbar spine.
Case Discussion
Cardiomegaly (hypertrophic cardiomyopathy, restrictive, dilated) with heart failure causing pleural and peritoneal effusion. Echocardiography showed end stage hypertrophic cardiomyopathy with heart failure.
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