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Mitral heart

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Elderly patient with shortness of breath. Cardiology clinic attendee.

Patient Data

Age: 80
Gender: Female
x-ray

Cardiomegaly, even allowing for the AP projection.

Splaying of the carina.

Enlarged left atrial appendage.

Double right heart border from the enlarged left atrium.

Case Discussion

The radiograph exhibits the 'full house' of features of a mitral heart due to mitral stenosis.

 

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