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– 9 year old MN Havenese presented for poor appetite – x-rays showed an enlarged liver, and enlarged left heart; bloodwork mild anemia, mild hypoalbuminemia, other parameters normal – u/s diffuse hepatomegaly, rounded capsular margins and ascites; hepatic vein and cvc distension – “quick” echo with abdominal probe ruled-out pericardial effusion however there is severe …