Note the calcified mitral valve on this lateral projection of a patient with rheumatic heart disease.
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...
This patient had rheumatic heart disease with mitral stenosis. Left atrial enlargement is suggested by the “double contour” sign, (i.e. 2 right heart borders), and the “ballerina” sign, an increase in the angle between the left and right main...
Advanced atherosclerotic calcification of the coronary arteries is noted in this lateral radiograph.
Calcification of the aortic valve (arrow) is best noted on the lateral projection in this elderly patient.
