Cardiomegaly with left atrial enlargement

Case contributed by Henry Knipe
Diagnosis almost certain



Patient Data

Age: 78
Gender: Female

Gross cardiomegaly, even allowing for projection. Splaying of the carina noted and the impression of double density sign, both indicative of left atrial enlargement. 

Case Discussion

Subsequent CT (not shown) confirmed left atrial enlargement. 

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