What Are The Most Common Cardiovascular Findings On Adult Chest Radiographs? What Is The Differential Diagnosis?

Mild enlargement of left ventricle (lower left heart border) with leftward bulging apex, enlarged aortic knob, and calcification in the aortic wall. These findings represent atherosclerotic disease and/or hypertension.

What are the cardinal signs of congestive heart failure on the chest x-ray?

‚ Cardiac enlargement.

‚ Pulmonary arterial enlargement.

‚ Peribronchovascular haziness and thickened septal lines representing interstitial edema.

‚ Fuzzy air-space-filling disease representing alveolar edema.

‚ Pleural effusion, especially on the right.

With early congestive failure, one may merely see mild cardiac and pulmonary arterial prominence and a perihilar haze‚ of early transudative pulmonary edema. The transudative edema of congestive failure tends to be quite mobile and accumulate in dependent portions of the chest; thus, it may appear to be entirely in the lower chest in the upright patient.

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