Cardiomegaly on Chest X-ray: Causes & Reasons

Possible Causes for Cardiomegaly on Chest X-ray

Abramoff and Pruitt who used bedside ultrasound to evaluate a patient with cardiomegaly on chest X-ray. [em.emory.edu]

Specialty: Cardiology MeSH Code: D006332 ICD 9 Code: 429.3 Cardiomegaly on chest X-ray and a pacemaker Source: Wikipedia Coding Notes for I51.7 Info for medical coders on [icd.codes]

Below is a list of tests and how they test for cardiomegaly: 1. Chest X-Ray : X-ray images help see the condition of the lungs and heart. [ipfs.io]

Endocardial Cushion Defect

The clinical picture of congestive heart failure, the bi-atrial and bi-ventricular overload on ECG, and cardiomegaly and pulmonary congestion on chest X-ray are common to [doi.org]

X-ray Cardiomegaly with increased pulmonary vascular markings Treatment Close the atrial and/or ventricular septal defects with patch material and repair the atrioventricular [echocardiology.org]

X-ray and left axis deviation, bi-atrial enlargement and bi-ventricular pressure and volume overload on electrocardiogram (ECG). [doi.org]

Ebstein Malformation

[…] on chest X-ray ( Figure 4 ). [vipoa.org]

Shown below is the chest x-ray of a patient with Ebstein's anomaly which demonstrates cardiomegaly : http://www.wikidoc.org/index.php/File:Ebstein%27s_anomaly_001.jpg Management [pedclerk.bsd.uchicago.edu]

The chest x-ray shows cardiomegaly with right side enlargement, clear lungs, and a small hilum. [rwjms1.umdnj.edu]

High-Output Heart Failure

The chest X-ray showed cardiomegaly and dilatation of the pulmonary artery. [ncbi.nlm.nih.gov]

Image : “Chest x-ray shows pulmonary overflow, left atrial enlargement, and cardiomegaly.” by Openi. [lecturio.com]

A chest X-ray demonstrated cardiomegaly with no acute abnormality. [omicsonline.org]

Thyrotoxic Heart Disease

Chest X-ray showed marked cardiomegaly with cardiothoracic (CT) ratio 0.8 and right side pleural effusion. [synapse.koreamed.org]

Chest X ray findings were cardiomegaly, unfolded aorta and features of pulmonary edema. [pubs.sciepub.com]

His chest X-ray showed cardiomegaly but no pulmonary oedema. [jmedicalcasereports.biomedcentral.com]

Acyanotic Congenital Heart Disease

• Small VSD: – Chest X-ray & ECG - normal • Large VSD:  Chest X-ray • Cardiomegaly • Enlarged pulmonary arteries • ↑ Pulmonary vascular markings • Pulmonary oedema  ECG [slideshare.net]

Systolic ejection murmur Chest X-ray shows cardiomegaly with prominent pulmonary vasculature and a prominent PA bulb. [differencebetween.com]

An x-ray of the chest showed cardiomegaly with a cardiothoracic (CT) ratio of 0.6, the electrocardiogram (EKG) showed sinus rhythm, and 2-D-echocardiography showed a moderate-sized [jmgims.co.in]

Endomyocardial Fibrosis

Chest X-ray showed cardiomegaly. Echocardiogram showed dilated right atrium and obliteration of the apex of the right ventricle. [ingentaconnect.com]

x-ray showing cardiomegaly; • Imaging studies showing enlargement of the atria; • Echocardiography; • Angiography showing distortion of the heart chambers; • Electron beam [secure.ssa.gov]

The chest X-ray showed mild cardiomegaly and marked calcification of the left ventricle ( Figure 1 A, arrow). [revportcardiol.org]

Hypersensitivity Myocarditis

[…] on chest x-ray." 20 Diagnostic Evaluation Electrocardiogram (ECG). [ahcmedia.com]

Diagnostic Modalities The chest x-ray typically demonstrates cardiomegaly and increased pulmonary vascular markings, indicating pulmonary oedema. [jpma.org.pk]

[…] with a viral prodrome and nonspecific respiratory or abdominal symptoms associated with tachycardia, hypotension, or cardiac rhythm abnormalities, even in the absence of cardiomegaly [ahcmedia.com]

Cor Triloculare Biventriculare

Chest x-ray: Chest x-ray findings are similar to large ASD: with cardiomegaly, enlarged central pulmonary arteries & pulmonary plethora. [cardiologyforyou.blogspot.com]

He had chest X-ray which showed cardiomegaly with increased pulmonary plethora [Figure 2]; the full blood count showed evidence of microcytic hypochromic red blood cells-red [heartindia.net]

He had chest X-ray which showed cardiomegaly with increased pulmonary plethora [Figure 2] ; the full blood count showed evidence of microcytic hypochromic red blood cells-red [heartindia.net]

Kounis Syndrome

[…] in the chest X-ray +/- +/- Dilated cardiac chambers in echogram +/- +/- Eosinophils, atypical lymphocytes and giant cells in biopsy - + AMA (indium 111) - + MRI: subendocardial [medscape.com]

Ventricular tachycardia + + Laboratory signs Coronary angiography +/- - Eosinophilia +/- +/- Increased cardiac enzymes and especially CPK-MB + + Increased troponins + + Cardiomegaly [medscape.com]

Ventricular Septal Defect

If the VSD is large, chest x-ray shows cardiomegaly and increased pulmonary vascular markings. [msdmanuals.com]

ECG and chest x-ray are typically normal if the VSD is small. [msdmanuals.com]

Chest x-ray and ECG Echocardiography Diagnosis of ventricular septal defect is suggested by clinical examination, supported by chest x-ray and ECG, and established by echocardiography [msdmanuals.com]

Congestive Heart Failure

Chest X-ray revealed cardiomegaly, and echocardiogram showed dilated left ventricular (LV) cavity and diffuse hypokinesis with extremely decreased ejection fraction (EF). [ncbi.nlm.nih.gov]

After 2 months of CHM treatment, the follow-up chest X-ray showed great improvements in pulmonary edema and cardiomegaly. [ncbi.nlm.nih.gov]

Testing may include a chest x-ray to look for cardiomegaly (an enlarged heart), pulmonary edema (fluid in the lungs), or pleural effusion (collection of fluid around the lungs [jama.ama-assn.org]

Dilated Cardiomyopathy

[…] on chest X-ray ( Figure 1 B). [revportcardiol.org]

Chest x-ray shows cardiomegaly, usually of all chambers. [merckmanuals.com]

The chest X-ray showed cardiomegaly (cardiothoracic ratio 0.8) with pulmonary congestion ( Figure 1 A). [revportcardiol.org]

Pericardial Effusion

We suggest that any patient who develops chest pain, tachycardia, cardiomegaly on chest X-ray or has signs of hypoxemia should be evaluated for PEF through echocardiography [nature.com]

ECG may show low voltage complexes and electrical alternans, and cardiomegaly on chest X-ray [2,12,16]. [escardio.org]

ECG strip showing declining and rising QRS amplitude in a patient with pericardial effusion Chest X-ray: Chest X ray can show cardiomegaly if sufficient fluid is present. [iame.com]

Alcoholic Cardiomyopathy

Blood tests will show signs of liver injury and confirm alcohol abuse, while chest X-ray shows pulmonary congestion, cardiomegaly and pleural effusions. [radcliffecardiology.com]

Chest X ray revealed global cardiomegaly and wide carina angle. ECG showed LAE and sinus tachycardia. Coronary angiogram demonstrated normal coronary arteries. [apjmt.mums.ac.ir]

The authors examined the prevalence of cardiomegaly by means of chest x-rays and related it to alcohol consumption among a consecutive series of Japanese males of working [dx.doi.org]

Primary Cardiac Sarcoma

Methods: Case 1: A 68 year old woman presented with progressive dyspnea and chest pain. Chest X-ray showed cardiomegali and ECG was consisted with atrial fibrillation. [ascopubs.org]

Her chest x ray showed an ill-defined shadow on the right side of her chest. [cardiothoracicsurgery.biomedcentral.com]

Chest X-ray demonstrated cardiomegaly and echocardiogram demonstrated a large pericardial effusion. [ommegaonline.org]

Heart Failure

Testing may include a chest x-ray to look for cardiomegaly (an enlarged heart), pulmonary edema (fluid in the lungs), or pleural effusion (collection of fluid around the lungs [dx.doi.org]

Chest X-rays are frequently used to aid in the diagnosis of CHF. [en.wikipedia.org]

In a person who is compensated, this may show cardiomegaly (visible enlargement of the heart), quantified as the cardiothoracic ratio (proportion of the heart size to the [en.wikipedia.org]

Cardiac Metastasis

Chest x-ray showed mild cardiomegaly and minimal right pleural effusion. Hematology parameters were normal in the laboratory analysis. [revespcardiol.org]

A chest X-ray posteroanterior view showed right-sided pleural effusion and cardiomegaly [Figure 1]. [jacpjournal.org]

Plain radiograph Findings are non-specific on chest x-ray, but may include: cardiomegaly (e.g. indicating pericardial effusion and/or cardiac congestion) gross mediastinal [radiopaedia.org]

Rhabdomyoma of the Myocardium

Chest X-ray was suggestive of gross cardiomegaly with a cardiothoracic ratio of 90%. The left lung was not visualized [Figure 1]. [jcnonweb.com]

Figure 1: Chest X-ray showing significant cardiomegaly (cardio-thoracic ratio 90%) Click here to view After counseling the parents, the infant was taken up for surgery on [jcnonweb.com]

Cor Triatriatum

Chest x ray demonstrated cardiomegaly and pulmonary venous congestion. [heart.bmj.com]

Chest X-ray showed cardiomegaly (C:T ratio > 0.6) with perihilar opacity. ECG showed RVH & RAH. [file.scirp.org]

The chest X-ray showed cardiomegaly with increased pulmonary vascularity, the packed cell volume was 48%, electrocardiography showed biventricular hypertrophy [Figure 1], [jcecho.org]

Cardiomyopathy

x-ray Cardiomegaly: left-sided hypertrophy with a balloon appearance Signs of left heart failure decompensation: pulmonary edema Pathology Treatment Treatment of the underlying [amboss.com]

Chest x-ray showed moderate cardiomegaly and bibasilar interstitial infiltrate. Electrocardiography (ECG) registered sinus tachycardia. [scielo.mec.pt]

Chest x-ray showing cardiomegaly and pulmonary congestion Figure 4. [clinicaladvisor.com]

Pulmonary Edema

Radiologic Investigations[13] Chest X-ray (It is one of the most important investigations required for the evaluation of pulmonary edema and overload states. [ncbi.nlm.nih.gov]

Early Stage In the early stages, cardiomegaly is present, usually identified as an increase of cardiothoracic ratio over 50%. [ncbi.nlm.nih.gov]

Apathetic Thyrotoxicosis with Thyrotoxic Crisis

His chest X-ray showed cardiomegaly but no pulmonary oedema. [jmedicalcasereports.biomedcentral.com]

Pericarditis

Bilateral pleural effusion, patchy infiltration at right middle lung field, and cardiomegaly were noted on chest X-ray (Figure 1A ). [casesjournal.biomedcentral.com]

Cardiomegaly was identified on chest X-ray in 11 patients (22%), 30 patients (60%) had an abnormal ECG and 44 patients (80%) had alterations on the transthoracic echocardiogram [revportcardiol.org]

Chest x-ray (although may have unspecific findings, it is easily accessible with low radiation exposure) findings: Epicardial halo (luscent lines within the cardiopericardial [cancertherapyadvisor.com]

Myocardial Infarction

X-ray[edit] Chest X-rays are frequently used to aid in the diagnosis of CHF. [en.wikipedia.org]

In a person who is compensated, this may show cardiomegaly (visible enlargement of the heart), quantified as the cardiothoracic ratio (proportion of the heart size to the [en.wikipedia.org]

[…] the lungs showing edema due to severe systolic heart failure[36] Ultrasound showing severe systolic heart failure[36] Ultrasound showing severe systolic heart failure[36] Chest [en.wikipedia.org]

Pompe Disease

The prominent cardiomegaly that can be seen on chest X-ray is normally the first indication leading to a preliminary diagnosis of Pompe disease. [themedicalbiochemistrypage.org]

Chest x-ray shows massive cardiomegaly. ECG shows a short PR interval as well as very tall QRS complexes. [dx.doi.org]

Massive cardiomegaly, which is easily detectable by chest X-rays, is one of the leading manifestations of the disease in infants. [ncbi.nlm.nih.gov]

Rheumatic Valvulitis

Chest x-ray showed cardiomegaly, cardiothoracic ratio of 156/243, with right atrial enlargement and right-sided pleural effusion. [heartindia.net]

X-ray chest revealed moderate cardiomegaly and ECG revealed a left ventricular volume overload pattern of eccentric hypertrophy due to LV dilatation as a result of severe [scirp.org]

Hodgkin Lymphoma

A chest x-ray may show cardiomegaly. An echocardiogram should be performed to evaluate for any structural abnormalities and to assess cardiac function. [ncbi.nlm.nih.gov]

Aortic Valve Stenosis

Chest X-ray revealed moderate cardiomegaly with bibasilar consolidations and moderate pulmonary edema with small pleural effusions bilaterally. [frontiersin.org]

X-ray[edit] Chest X-rays are frequently used to aid in the diagnosis of CHF. [en.wikipedia.org]

In a person who is compensated, this may show cardiomegaly (visible enlargement of the heart), quantified as the cardiothoracic ratio (proportion of the heart size to the [en.wikipedia.org]

Ischemic Cardiomyopathy

Chest X-ray Chest X-ray is useful in detecting cardiomegaly and pulmonary congestion as part of the initial diagnosis of CHF; however, it should be evaluated in consonance [symptoma.com]