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12 Possible Causes for Cardiomegaly on Chest X-ray, Chest Pain Worse when Lying Down

  • Pericarditis

    Bilateral pleural effusion, patchy infiltration at right middle lung field, and cardiomegaly were noted on chest X-ray (Figure 1A ).[casesjournal.biomedcentral.com] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] 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]

  • Acute Pericarditis

    It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] Some people describe the pain as more like a dull ache or feeling of pressure. The pain may also radiate up from your chest into your left shoulder and neck.[your.md]

  • Aortic Valve Stenosis

    If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse.[en.wikipedia.org] Signs of heart failure include shortness of breath especially when lying down, at night, or with exercise, and swelling of the legs.[en.wikipedia.org]

  • Toxic Myocarditis

    Diagnostic Modalities The chest x-ray typically demonstrates cardiomegaly and increased pulmonary vascular markings, indicating pulmonary oedema.[jpma.org.pk] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] Chest radiographs can be used to reveal the flask-shaped, enlarged cardiac silhouette due to large amounts of fluid being present in the pericardium.[atsu.edu]

  • Rheumatic Valvulitis

    Chest x-ray showed cardiomegaly, cardiothoracic ratio of 156/243, with right atrial enlargement and right-sided pleural effusion.[heartindia.net] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] 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]

  • Suppurative Pericarditis

    From the signs of heart failure and cardiomegaly on chest X-ray the differential diagnosis of myocardial disease or pericardial effusion was made.[ncbi.nlm.nih.gov] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] Chest X-ray showed cardiomegaly. He required mechanical ventilation, volume resuscitation and vasoactive drugs.[researchers.unab.cl]

  • Dressler Syndrome

    Her chest X-ray demonstrated cardiomegaly with pulmonary vascular congestion and bibasal pleural effusions.[bjcardio.co.uk] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] Lab tests were notable for a leukocytosis of 13 x 10 3 /µL with left shift and an elevated B-natriuretic peptide of 3,760 pg/ml.[bjcardio.co.uk]

  • Postcardiac Injury Syndrome

    (a) Posteroanterior chest X-ray showed unilateral pleural effusion and cardiomegaly, suggesting pericardial effusion; (b) A large circunferential pericardial effusion ( 3[file.scirp.org] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] X-Ray showed cardiomegaly and electrocardiogram was suggestive of chronic anterior myocardial infarction.[file.scirp.org]

  • Myocardial Abscess

    The chest X-Ray revealed mild cardiomegaly and normal pulmonary vascular markings.[romanianjournalcardiology.ro] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] Chest radiographs can be used to reveal the flask-shaped, enlarged cardiac silhouette due to large amounts of fluid being present in the pericardium.[atsu.edu]

  • Aortic Valve Calcification

    Chest X-ray revealed moderate cardiomegaly with bibasilar consolidations and moderate pulmonary edema with small pleural effusions bilaterally.[journal.frontiersin.org] […] especially when lying down, at night, or with exercise, and swelling of the legs. [1] Thickening of the valve without narrowing is known as aortic sclerosis. [1] Causes include[en.wikipedia.org] pain occurs due to AS the outcomes are worse. [1] Loss of consciousness typically occurs with standing or exercise. [1] Signs of heart failure include shortness of breath[en.wikipedia.org]

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