Cardiomegaly with left atrium enlargement

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain


Complaining of right side upper back pain since 3 days, not associated with nausea, sweating or exertional dyspnea, no history of trauma.

Patient Data

Age: 55 years
Gender: Male



Mild to moderate cardiomegaly with the sign of double density sign and a marked increase in the carina angle? Left atrium enlargement.

Unfolded aorta.

Mild mediastinum widening.

Dorsal spine


Minimal to mild degenerative changes in the dorsal spine.

Marked decreased disc space of dorsal vertebra 5-6.

Case Discussion

This patient was complaining of dorsal pain, by chance, cardiomegaly is seen.

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