Case Study

RADS – Cardiomegaly with atrial enlargement and vascular lung pattern, likely compensated cardiomyopathy in a 8 year old FS Sphinx cat

A 8 year old FS Sphynx cat was presented with a 2 month history of neurological signs at home. Is a retired breeding cat. Grade 2 systolic soft left sided heart murmur hx since 2014. Also history of URI, owners say her breathing is more raspy and audible. Decrease appetite and wt loss 1lb. Neuro episodes: She seeks out Mr, seems wobbly and ataxic, but able to stand and looks around. Seems tired after episode. No vocalizing, u/bm. No pu/pd.

Physical Exam: BCS 5/9, 1-2 grade soft heart murmur systolic left sided. Increased bronchovesicular sounds esp on inspiration. No ocular or nasal discharge. regular rhythem. HR 150 RR 48. CBC/Chem/UA pending

Image Interpretation

RADS of right lateral and DV thorax – Osseous structures:
Overall mild degenerative changes were associated with the axial skeleton. The intervertebral disc space T12/13 was narrow.
Intrathoracic structures:
The views were obtained during inspiration.
The trachea, mediastinum and pleural space were within normal limits. The heart revealed mild enlargement level with the atria resulting in a valentine shaped cardiac silhouette. The caudal lobar vessels were mildle dilated. There was no sign of pulmonary edema. The lung revealed mild multifocal peribronchial cuffing emphasizing the caudal lobes.

DX

The radiographs show a cardiomegaly with atrial enlargement and a mild localized vascular lung pattern. The most likely underlying disease is compensated cardiomyopathy. A

Outcome

A full cardiac echo is advised in case general anesthesia is neccessary during further workup.
The multifocal peribronchial pattern is an expression of current or healed airway disease; the degree is very mild. Current clinical relevance is unlikely.

Patient Information

Patient Name : Aneekah Long

Gender : Female, Spayed

Species : Feline

Type of Imaging : Ultrasound

Liz Wuz Here : Yes

Clinical Signs

Neurologic signs
Weight loss

History

Heart Murmur
URI

Exam Finding

Heart Murmur

Images

Clinical Signs

Neurologic signs
Weight loss