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A 14-year-old, MN, 13.5 lb Maltese was presented for a possible syncopal episode after going upstairs and breathing heavier. The patient was treated with enalapril 2.5 mgs PO SID and scheduled for an echocardiogram. Physical Exam: Grade 4/5 murmur. Radiograph indciated severe cardiomegaly. BP 117/74 Map 90. CBC: Normal. Chemistry: Alk. Phos 1340.

The patient was presented for heavy breathing, panting, excessive throat clearing, weight loss. Altered CBC/Chem/UA values: BW-NSF. Radiograph Findings: chest rads-NSF.