DCM + MMVD + PHT (!) – How would you treat it?

DCM + MMVD + PHT (!) – How would you treat it?

Hi, 13yo MI Dalmatian with previously diagnosed hypothyroidism presented with ascitis. Echo shows: Dilated heart (suspected DCM, or at least DCM phenotype heart) + myxomatous mitral valve disease with moderate regurgitation + severe tricuspid regurgitation suggestive of severe pulmonary hypertensionv + multiple multifocal VPCs. Very low FS% (18%, with very hypokinetic LVPW). No know respiratory…

Hepatic lesion

Taz is a 11 year old Doberman.  History of Cardiomyoptahy. Recent lab work indicated mildly elevated hepatic numbers. I was wondering if I could get some feedback on this Cine. I was wondering what you think about the  large hyperechoic area around the 4:00 mark. Any feedback would be appreciated.    

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