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A 9-year-old 10-kg spayed female Pug was presented to the emergency service at the Kansas State University Veterinary Health Center with chief complaints of tachypnea and dyspnea of 3 to 4 days’ duration. On presentation, the dog was quiet, alert, and responsive. Rectal temperature was 38.7 °C; heart rate was 140 beats/min. The dog was panting with a noticeable expiratory push. Stenotic nares, stertorous breathing, and increased referred upper respiratory noise were also noted. There was no heart murmur auscultated on physical examination.

Results of a CBC and serum biochemical profile were unremarkable. Thoracic radiographic findings were consistent with

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in Journal of the American Veterinary Medical Association