Right atrial enlargement

Case contributed by Dr Henry Knipe

Presentation

Dyspnoea, facial plethora.

Patient Data

Age: 64
Gender: Female
Modality: X-ray

There is severe cardiomegaly, with mild changes of pulmonary oedema. No focal airspace consolidation or pleural effusion. Right chest wall dual-lead pacemaker is in situ.

Modality: CT

Severe cardiomegaly with an especially large right atrium. Evidence of right heart failure with reflux of contrast into the hepatic veins. Dual lead pacing device.

Case Discussion

This patient has a known history of tricuspid regurgitation. 

In cases of severe cardiomegaly, signs on chest x-ray become non-specific. 

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Case Information

rID: 30186
Case created: 24th Jul 2014
Last edited: 8th Dec 2016
Systems: Chest, Cardiac
Inclusion in quiz mode: Included

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