Left atrial enlargement

Case contributed by Dr Sajoscha Sorrentino

Presentation

Patient was scheduled for hip replacement and got her pre-op chest x-ray.

Patient Data

Age: 85 years
Gender: Female
X-ray

Aside from the dirty lung due to emphysema and pneumonic infiltration in the lower right field you can notice a marked enlargement of the left atrium with splaying of the carina.

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