A member asked:

Can a 4months baby have a hole in the heart when his chest pa xray reads that the heart size and contour are normal.

A doctor has provided 1 answer
Dr. Melissa Gowans answered

Specializes in Pediatrics

Yes: An Xray only shows the outline or heart "shadow". It can not provide the details about the heart unless the heart is enlarged or misshapen. A hole in the heart, commonly between the atria (ASD) or ventricles (VSD) are within the heart and unless severe won't change the outline, therefore not seen by X-ray. An ultrasound of the heart (ECHO) is usually the modality of choice to look at the heart.

Answered 11/28/2017

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