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If [for example] the heart in measures 9.5v, and subsequently 10.5v, that indicates cardiac enlargement and the effects of mitral regurgitation." (Emphasis added.) a baseline x-ray You see, as the two x-rays at the right show, with two sets of x-rays, one taken before any enlargement takes place and the other when enlargement is suspected, even a veterinary technician with no cardiac experience can measure the dimensions on both sets of x-rays, to arrive at VHS values and be certain that the heart either is or is not enlarged, and if so, by how much