Fig. 4

Right lateral (a) and dorsoventral (b) thoracic radiographs from Dog 4. The cardiac silhouette is markedly enlarged and rounded and there are visible intestinal loops containing granular and soft tissue opaque material superimposed on the ventral cardiac silhouette. There is border effacement of the ventral margin of the diaphragm, and the intestinal loops superimposed on the cardiac silhouette are confluent with the abdomen. These findings are consistent with a peritoneopericardial diaphragmatic hernia with suspect herniation of intestinal loops and potentially liver