GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Hoffman-Rigler sign of left ventricular enlargement

Case contributed by Vincent Tatco
Diagnosis certain

Presentation

Diagnosed case of aortic regurgitation by echocardiography.

The lower posterior heart border is displaced posteriorly reflective of left ventricular enlargement.

Annotated image demonstrating the borders of the left ventricle (LV) and inferior vena cava (IVC) on the lateral chest radiograph.

Annotated image demonstrating the Hoffman-Rigler sign. Left ventricular enlargement is suggested on lateral chest radiograph if the distance (D) between the LV border border and the posterior border of IVC is more than 1.8 cm at a level 2 cm above the intersection of diaphragm and IVC.

Case Discussion

This case demonstrates the Hoffman-Rigler sign of left ventricular enlargement on lateral chest radiograph.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.