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.

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...

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...