I would appreciate your help in interpreting this images. I apologize for the poor quality of both xray (forelimbs in the way) and echo clips (this is the best I could get, I know they are terrible)

Patient (FN persian cross, unknown age) has history of usual wheezy breathing. Recent worsening in the past 2 weeks. Mild decreased apetite. No blood work to my knowledge.

My question is whether there is HCM or not…In the xray, there appears to be pulm oedema caudally and dorsally to heart but I dont see a clearly enlarged LA… 

I would appreciate your help in interpreting this images. I apologize for the poor quality of both xray (forelimbs in the way) and echo clips (this is the best I could get, I know they are terrible)

Patient (FN persian cross, unknown age) has history of usual wheezy breathing. Recent worsening in the past 2 weeks. Mild decreased apetite. No blood work to my knowledge.

My question is whether there is HCM or not…In the xray, there appears to be pulm oedema caudally and dorsally to heart but I dont see a clearly enlarged LA… 

In the echo, some of the Mmodes look subjectively like thickened LV walls, and some look more normal (I measure under under 5mmin end diastole). Quality is too poor and I cannot discern. I would expect LA to be more dilated than what it looks (it appears fairly normal to me, may be a bit dilated…). I did not see any MReg (although that does not really exclude it…).

I initially thought there was not significant hyperthrophy nor enlarged LA but after reviewing the whole exam and xrays, I’m not so sure…

Any help would be much appreciated.

Many thanks!