Left Atrial Enlargement

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...

Aortic Rupture

Note the markedly widened mediastinum in the AP view (below), which is suggestive of aortic aneurysmal/dissection disease. The CTs presented below show the “snowman” sign depicting the aneurysm, filling defects, and and extravasation.