
57-year-old female with 4 chamber enlargement consistent with a dilated cardiomyopathy.
CXR showed cardiomegaly with a triangular shaped heart
CT confirmed 4 chamber cardiomegaly with pulmonary hypertension. The left atrium (LA) measured 5cms, the right atrium was 8.2cms, right ventricle 4.9cms, left ventricle 5.7cms, and PA 3.5cms. LV thickness was 1.4cms
On the coronal view the triangular shaped RV dominated the shape of the heart. There was mild tricuspid regurgitation
Ashley Davidoff MD

DILATED CARDIOMYOPATHY WITH 4 CHAMBER ENLARGEMENT and TRIANGULAR HEART ON CXR

87 year old male with findings consistent with mitral stenosis , characterised by calcified mitral valve, enlarged left atrium, normal sized left ventricle,with enlarged right atrium, right ventricle and main pulmonary artery.
Pure mitral stenosis is most commonly caused by rheumatic heart disease
Ashley Davidoff MD

Ashley Davidoff MD