-Senior chihuahua

-Harsh lung sounds, if murmur present, is very low grade.

-Recent history of respiratory difficulties, including a bout with (presumed) bacterial pneumonia (elevated WBCs, interstitial lung pattern).  Several episodes responded to oxygen, short-acting steroids, single injection lasix when pneumonia not suspected.

-Recent rad review suggests possible pulmonary hypertension

-Senior chihuahua

-Harsh lung sounds, if murmur present, is very low grade.

-Recent history of respiratory difficulties, including a bout with (presumed) bacterial pneumonia (elevated WBCs, interstitial lung pattern).  Several episodes responded to oxygen, short-acting steroids, single injection lasix when pneumonia not suspected.

-Recent rad review suggests possible pulmonary hypertension

***I had a VERY hard time imaging this patient.  I do not have the required views to diagnose PH.  I believe the one view of the PA was enlarged compared to the Ao but I can’t prove it.  I did not see TR although I could have missed it.  She is tiny and strongly resists any type of restraint.

Systemic blood pressure is normal.

I was surprised by the degree of LV hypertrophy and would like your opinion.  I don’t believe she is in heart failure.

Thanks!

Suzanne