Survey radiographs often are obtained in dogs with primary hypoadrenocortic
ism in adrenal crisis as part of the routine evaluation of a critically ill
dog. In this study, standardized methods of cardiac, pulmonary vasculature
, and vena cava mensuration were used in 22 dogs with naturally-occurring p
rimary hypoadrenocorticism, and the findings were compared with those in 22
breed-matched, clinically normal dogs. Most (81.8%) untreated dogs with pr
imary hypoadrenocorticism had one or more radiographic abnormalities, inclu
ding small size of the heart (45.5%), cranial lobar pulmonary artery (36.4%
), caudal vena cava (54.5%), or liver (36.4%), Megaesophagus was not found
in any of the dogs with hypoadrenocorticism, and therefore, compared to the
other common radiographic findings, should be considered a rare finding.