Radiographic Levine's sign
3 hour history of central chest pain.
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The left hand is overlying the left hilum and left lower lobe. Allowing for that no abnormality is seen.
Levine's sign is the finding of a clenched fist held in front of the chest, indicating ischemic chest pain. In this case, the patient presented to the emergency department with chest pain and tightness. A portable frontal chest radiograph was taken demonstrating a round increased density overlying the left heart border with a ring-shaped density more centrally. At first glance, these could be mistaken for cardiomegaly and a mitral valve replacement but the radius and ulna are clearly visible when examining the left lower zone of the radiograph. In this case, a diagnosis of unstable angina was made.