Spurious dextrocardia

Case contributed by Daniel J Bell
Diagnosis certain

Presentation

Cough

Patient Data

Age: Adult
Gender: Male
x-ray

An AP chest radiograph was inadvertently saved back to front, and then the orientation marker placed on the wrong side, and only by reviewing previous images was it clear that this patient actually had levocardia. 

The radiographer was alerted and the image was flipped so that the orientation was correct. 

Case Discussion

This case illustrates the importance of checking previous images as the initial image viewed in isolation gives the impression that the patient's heart lies on the right.

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