Figure 44d

Chest roentgenogram of a patient with mitral stenosis (valve area 0.7 cm2) and pulmonary hypertension. The main pulmonary artery is large, and the left atrial appendage is seen along the left cardiac border. The modest increase in the size of the cardiac silhouette is due to right and left atrial enlargement.

(Courtesy of Dr. I.S. Crawley) Gaasch, W.H., MD, O'Rourke, R.A., MD, Cohn, L.H., MD, Rackley, C.E., MD, Mitral Valve Disease, Hurst's The Heart, 8th edition, p 1486.