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This document describes methods to measure the size of the heart and left atrium in veterinary radiographs, including the vertebral heart score (VHS) and new measurements such as the radiographic dimension of the left atrium (RLAD). It provides normal VHS values for different dog and cat breeds, and establishes that RLAD values, R-Top sum, and left atrial roof measurement above 1.8, 3.1, and 1.2 vertebrae respectively may

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