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 edema. 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. 

PlayAdd to Share

Case information

rID: 30186
Published: 24th Jul 2014
Last edited: 19th Dec 2018
System: Chest, Cardiac
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.