PLAIN RADIOGRAPHIC DIAGNOSIS OF CONGENITAL HEART DISEASE

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7a-1. Congestive cardiac failure secondary to glomerulonephritis.

A. PA chest film demonstrates mild cardiomegaly with normal pulmonary arterial markings. There is pulmonary venous congestion, fluid within the horizontal fissure and prominent Kerley B lines (indicative of lymphatic engorgement).

B. Lateral chest film show marked venous congestion with fluid visible in both the horizontal and oblique fissures.

7a-2. Congestive cardiac failure secondary to sickle cell anemia.

A. PA chest film shows cardiomegaly, fluid within the horizontal fissure and pulmonary venous congestion.

B. Lateral chest film.

C. PA abdominal film demonstrates characteristic erosive changes (demineralization, flattening and biconcave configuration) in the vertebral bodies accompanying sickle cell. Abdominal ultrasound in this patient demonstrated cholelithiasis, further confirmation of ongoing hemolysis.

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