Mogul signs on chest X-ray

This article has been cited in Chest [2]. A mogul can form due to left ventricular pseudoaneurysm after mitral valve replacement [3]. Early recognition of this is important as pseudoaneurysms are prone for rupture with catastrophic results. Mogul signs on chest X-ray In addition to the mogul signs, the chest X-ray shows prominent upper lobe vessels (antler sign) and double atrial shadow or shadow within shadow of left atrial enlargement. The left atrial shadow is seen as a double density within the right atrial shadow as part of the enlarged left atrium extends posterior to the right atrium. All these features are suggestive of mitral stenosis with pulmonary hypertension. References Daves ML. Skiagraphing the mediastinal moguls. New Physician. 1970. 19:49-54. A chest radiograph showing abnormal mediastinal contour. Chest. 1996 May;109(5):1383-4. Aldridge S, Frazer J, Tawn J, Wilde P. Left ventricular aneurysm formation: an iatrogenic cause for the third mogul. Br J Radiol. 1988 Jun;61(726):463-8. The post Mogul signs on chest X-ray appeared first on All About Cardiovascular System and Disorders.
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Cardiology X-ray Source Type: blogs