Moguls of the heart

Dr Henry Knipe and Dr Vincent Tatco et al.

The 'moguls of the heart' refer to the bulges of the cardiomediastinal contour on frontal chest radiographs. The cardiomediastinal bulges are likened to skiing moguls (bumps of packed snow on a mountainside sculptured by turning skis). Awareness of their usual locations and aetiologies is helpful in their recognition. 

Radiographic features

On the right cardiomediastinal border:

On the left cardiomediastinal border:

History and etymology

The term was popularised by M Daves in the 1970s 1-3.

Chest x-ray
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Article information

rID: 43465
System: Chest, Cardiac
Section: Signs
Tag: cases
Synonyms or Alternate Spellings:
  • Cardiac moguls
  • Cardiomediastinal moguls

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Cases and figures

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    Figure 1: skiing moguls
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    Figure 2: cardiomediastinal moguls
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