By M. Chen, T. Pope, D. Ott(eds0
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3â 33A, white arrow ). LAE also causes a separation and widening of the carinal angle that can be seen on the PA chest radiograph, although this is a late sign of LAE. The carinal angle normally measures between 60 and 120 degrees. Widening of this angle may occasionally be caused by subcarinal adenopathy and therefore should be correlated with other signs of LAE. The left atrium makes up the posterior cardiac shadow just above the left ventricle (LA in Fig. 3â 1). Left atrial enlargement is recognized on the lateral film by enlargement and posterior displacement of the left atrial shadow (Fig.
3â 41B, arrows ). Note the attenuation of vessels in the periphery of the lungs. This constellation of findings is typical of emphysema. There are also large bullae, which result in an absence of pulmonary vessels and hyperlucency of the lungs. 3-13. This case (Fig. 3â 42) shows increased pulmonary vascularity in a 22-year-old patient with VSD. ) Note the large central pulmonary arteries, the increased linear opacities radiating out into the lungs, and the relatively uniform distribution of the pulmonary vascular shadows.
D. right aortic arch. E. mediastinal adenopathy. 3-18. Causes for the appearance of the chest in Case 3-18 (Fig. ascending aortic aneurysm. B. anterior mediastinal mass. C. pleural mass. D. lung cancer. E. Ewing's sarcoma of rib. 3-19. The arrow in Case 3-19 (Fig. 3â 49) is showing A. aortic ectasia. B. aortic constriction. C. pulmonary artery dilatation. D. adenopathy. E. embolic changes. 3-20. The abnormality shown by the arrow in Case 3-20 (Fig. 3â 50) is most likely 53 54 A. enlarged main pulmonary artery.