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

Case Study

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. 

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

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

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.

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

bildschirmfoto_2015-12-21_um_20

Clinical Signs

  • Neurologic signs
  • Weight loss
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