Rheumatic fever as a child. Known mitral stenosis. Short of breath.
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Even allowing from projection the heart is enlarged.
Double right heart border, due to enlargement of the left atrium.
Prominent left atrial appendage.
Severe splaying of the subacarinal angle (150 degrees).
A 'full house' of signs of a mitral heart:
- Double right heart border - due to enlargement of the left atrium.
- Prominent left atrial appendage.
- Severe splaying of the subcarinal angle (150 degrees) - due to compression from enlarged left atrium.