If accurate, only: mildly ↑ed. RA ~5 mmHg, RV systolic ~25 mmg Hg generally ~optimally healthy; similar to the values stated. Thus RA enlargement likely: mismeasurement (common, not rare; study image data yourself), marked tricuspid regurgitation, congenital variant, atrial muscle problem [eg advanced arterial disease in RA arteries; (lumens too small to see by angiography) producing RA ischemia/fibrosis], etc.
Answered 10/15/2017
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