Rotated chest X-ray
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Rotated chest X-ray
- A small amount of patient rotation can lead to misinterpretation
- This patient is rotated to their left (right shoulder forwards and left shoulder backwards)
- The spinous processes are not midway between the medial ends of the clavicles
- This results in exaggeration of heart size
- The cardiothoracic ratio (CTR) is >50%
Repeat chest X-ray without rotation
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Repeat chest X-ray without rotation
- A repeat chest X-ray without rotation shows that the heart size is normal
- CTR 47%
- Read more about rotation