Examination of the cranial lobar vessels is obscured by an increased density in the lung fields. Air bronchograms are present in the left middle lung lobes. A pulmonary lobar sign is present between the left middle lung lobe and the diaphragmatic lobe. There is a peribronchial pattern present in the diaphragmatic lung fields. The vessels to the cranial lung lobes are obscured, we can't therefore address venous engorgement.
Cardiac enlargement is suggested by the wide heart on the lateral projection.
This tends to suggest right ventricular enlargement, although we have observed numerous cases of left ventricular enlargement that demonstrate a heart of increased width. Left ventricular enlargement is suggested by the straightened caudal border of the heart. Pulmonary edema is suggested by the combination of fuzzy borders to the vessels and the peribronchial pattern. Alveolar disease is indicated by the lobar sign and air bronchograms . The combination of left ventricular enlargement and breed of Doberman Pinscher should make us very suspicious of dilated cardiomyopathy.