Right atrial enlargement

Case contributed by Dr Henry Knipe

Presentation

Dyspnoea, facial plethora.

Patient Data

Age: 64
Gender: Female
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.

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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