Harley O was a city sieze from his owner. He came to us with blood in his eye from trauma. He also has oral nasal fistulas. He has poor long term prognosis for ears will likely have recurrence of infections. The oral nasal fistulas are draining blood into his mouth, and he may have pneumonia. His heart is enlarged with a murmur. There is crackling in the right ventral lung fields. He pants a lot and is dyspnic, plus it is painful around his front legs. His hair is thinning in areas. Potentially grave but currently guarded prognosis.