Right ventricular hypertrophy is suggested by elevation of the cardiac apex from the diaphragm on this PA projection of a patient with rheumatic heart disease. The lateral view supports the diagnosis by demonstrating loss of the retrosternal airspace and increased...
As pulmonary edema fluid initially collects in the interstitium, mild pulmonary edema shows the following features: loss of definition of pulmonary vasculature peribronchial cuffing Kerley B lines reticulonodular pattern thickening of interlobar fissures If the...
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...
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,...
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.
