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When was the last time a chest x-ray was done? This is my memory talking but for my Noel, our vet at the time, took views in which even I could see that her trachea was being impinged on, and her heart had enlarged from the previous xray.
 

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This link has an xray which shows what the compression may look like.
It's stated that the dog is not necessarily in heart failure for the compression to be a problem.
 
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