Lungs double density sign of left atrial enlargement (CXR)

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Heart


2. Findings and Diagnosis


CXR shows a triangular shaped heart with upturned apex indicating right ventricular enlargement . In addition there is left atrial enlargement characeterised by elevated left mainstem bronchus, double density and straightening of the left heart border. These findings are consistent with mitral stenosis
and likely rheumatic in origin
Ashley Davidoff TheCommonVein.net 08012

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