Mitral stenosis chest x-ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Rim Halaby, M.D. [3]

Overview

Chest X-ray in a patient with mitral stenosis might reveal left atrial enlargement. Chest X-ray findings include double right heart border, a prominent pulmonary artery (suggestive of an elevation in the pulmonary artery pressure), and kerley lines (suggestive of interstial pulmonary edema).

Chest X-Ray

An x-ray may be helpful in the diagnosis of mitral stenosis. Findings on a chest x-ray suggestive of mitral stenosis include: [1][2]

  • In blue: outline of the heart (mildly enlarged)
  • In yellow: double right heart border
  • In red: straightening of the left border of the heart suggestive of enlargement of the left atrium

In addition, the chest X-ray reveals Kerley lines.

Picture adapted from Radiopedia.org

References

  1. Mitral regurgitation https://radiopaedia.org/articles/mitral-stenosis Accessed on December 7, 2016
  2. Velusamy M, Mullens ML, Harrell JE, Talley JD (1995). "The chest x-ray in mitral stenosis". J Ark Med Soc. 91 (12): 604–5. PMID 7790325.

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