Presentation
Coughing for a week. Chest x-ray to rule out pneumonia.
Patient Data
Age: 55 years
Gender: Female
From the case:
Double right heart border sign
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Borderline cardiothoracic ratio.
Normal subcarinal angle.
Both costophrenic angles are clear.
No focal lung consolidation.
Case Discussion
Double right heart border with borderline cardiomegaly raises suspicion for left atrial enlargement. This patient requires correlation with echocardiogram.