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Follow-up from clinic.
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Cardiomegaly with double right heart border. Prominent left atrial appendage and pulmonary outflow silhouettes. Splayed carina.
Findings in keeping with mitral valve disease.
This patient had a history of mitral stenosis complicated by pulmonary arterial hypertension. The findings are typical for a "mitral heart".
Case with thanks to Professor Oliver Hennessy.
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