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Generalized cardiomegaly on chest radiology

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Causes include:

  • dilated chambers:
    • congestive cardiac failure
    • dilated cardiomyopathy

  • thickened walls:
    • congestive cardiac failure
    • hypertensive heart disease
    • hypertrophic cardiomyopathy

  • pericardial effusion:
    • transudate:
      • heart failure
      • hypoalbuminaemia, e.g. malnutrition, chronic liver disease
    • exudate:
    • infection, e.g. coxsackie virus, tuberculosis
      • connective tissue disease, e.g. SLE
      • metastases, e.g. breast, bronchus
      • hypothyroidism
      • uraemia
      • radiation
      • blood, e.g. aortic dissection, trauma

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