Ventricular septal defect chest x ray

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Chest X Ray

Small VSD:

Normal heart size and pulmonary vascularity.

Medium-sized defect (or moderate left-to-right shunt):

a) slight cardiomegaly

b) increased pulmonary vascular markings in both the central and the peripheral portions of the lung field.

Large VSDs:

a) LVH has regressed in adults, apex is tilted upward reflecting RVH.

b) dilated proximal pulmonary vessels, pruned peripheral vessels