Pericardial Effusion No. 2

Evidence of a pericardial effusion can be as follows: a) a globular heart b) loss of the indentations of the left mediastinal border c) separation of peri- and epicardial fat pads on lateral film. The appearance is very similar to a dilated cardiomyopathy, therefore...

Pericardial Effusion No. 1

PA film of a patient with a large pericardial effusion. Note the abnormal (>0.5) cardiothoracic ratio and classic “globular” shape to the heart. Other features of pericardial effusion (not seen) include a loss of the indentations on the left mediastinal border and,...

Mitral Valve Prosthesis

A prosthetic mitral valve is noted on PA and lateral radiographs of a patient with rheumatic heart disease. Sternal wires are most likely from the valve replacement surgery. There is also evidence of consolidation in the right lower lobe.

Mitral Valve Calcification

Note the calcified mitral valve on this lateral projection of a patient with rheumatic heart disease.

Left Ventrical Enlargement

Evidence of an enlarged left ventricle can be as follows: a) displacement of cardiac apex inferiorly and posteriorly b) boot shaped heart c) Rigler’s sign (on the lateral film, from the junction of IVC and heart at the level of the diaphragm, measure 1.8 cm...