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now were gonna take a moment to review radiograph interpretation and dogs with heart disease and respiratory signs so heres chip-chip remember was a Cavalier King Charles Spaniel thats middle-aged to older he has a murmur and he is coughing when I look at radiographs like this I first take a look at the heart chambers and also get an idea about general heart size so when you look at here theyre labeled for you heres the left atrium the left ventricle the right atrium and the right ventricle one of the things that I noticed is how big the left atrium is so if you follow the caudal border of the heart here the left atrium starts to curve out this direction and then the other thing that you notice is is that theres dorsal deviation of the trachea its marked here by these lines the trachea now is more dorsal and it is parallel with the spine so when I look at radiograph interpretation for dogs with heart disease theres five things that I kind of work my way through on a list the fi