Early DCM? Other?

Here is a cardiac case where I am finding it hard to put things all together;

– 3 yr old male intact Cane Corso cross 34.1kg diagnosed with heart murmur that is suppose to be “new” grade 3/6 PMI left side  Alive Cor ECG shows no abnormal complexes

– chest rads shows enlarged, globoid heart but LAE not appreciated; no pulmonary edema – mild bronchointertsial pattern

– on echo I am getting a midly enlarged LVIDd; looks like mild LAE in some views but not others so I think the LA is normal

– mild AS at 2.7 m/s with mild AI (likley insignificant)

Here is a cardiac case where I am finding it hard to put things all together;

– 3 yr old male intact Cane Corso cross 34.1kg diagnosed with heart murmur that is suppose to be “new” grade 3/6 PMI left side  Alive Cor ECG shows no abnormal complexes

– chest rads shows enlarged, globoid heart but LAE not appreciated; no pulmonary edema – mild bronchointertsial pattern

– on echo I am getting a midly enlarged LVIDd; looks like mild LAE in some views but not others so I think the LA is normal

– mild AS at 2.7 m/s with mild AI (likley insignificant)

– mild MR present with a central jet; ME/MA wnl; EPSS upper end of normal and FS normal

– TR jet consistently just slightly over 3 m/s so technically considered mild PAH but likely insignificant

So why the MR? Why the increased LV diameter? Could this be emerging DCM