A 37-year-old woman presents with shortness of breath on exertion. She has a past history of rheumatic fever as a child. On cardiac auscultation, there is a loud S1 and a mid-to-late low-pitched diastolic murmur. You suspect she has mitral stenosis. Which of the following findings is most likely to be seen on the CXR in someone with mitral stenosis?
Other early changes in mitral stenosis include prominence of the main pulmonary arteries and backward displacement of the esophagus. CXR changes are caused by enlargement of the left atrium. Severe disease can cause pulmonary congestion (Kerley B lines) and enlargement of the right ventricle, right atrium, and superior vena cava.
general enlargement of the heart
Kerley B lines
attenuation of pulmonary arteries
straightening of the left heart border
C.V.S.