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Welcome to Justanswer! I am Dr. Altman and happy to assist you both today!I am so sorry you have waited so long for a response and that Milo is having these difficultiesYes I would absolutely get a second opinion at this point. The heart is mildly enlarged but we need the second x-ray of him on his side to give a three dimensional idea of what is going on with the heart (versus two dimensional of the one x-ray). In addition the area on the lower part of the screen is what looks like a consolidated lung lobe and this should be addressed. Causes can include tumor, torsion, pneumonia, etc and better x-rays are warranted to get that information in order to help him further.To explain x-rays, black is air and white is bone. We want lungs to be black and the rounded area on the bottom of the x-ray is a lung lobe the same density of the heart which is a concern and needs to be further evaluated asapI hope this information confirms your suspicions but I definitely would encourage your boyfriend to have a second opinion this week to get some more answers to what is going on with MiloPlease let me know how else I can assist you both today
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