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Palestine, TX
A 51-year-old female asked:

the doctor said i had a enlarged heart, the radiologist said i had a prominent heart, what is the difference?

3 doctor answers3 doctors weighed in
Dr. Rick Koch
Dr. Rick Koch answered
Cardiology 22 years experience
Similar implication: But different terminology.
Dr. Larry Grissom
Radiology 43 years experience
Perception: The radiologist referred to the prominent size of the heart and adjacent structures (cardiac silhouette ) to bring it to the attention of the referring doctor that requested the exam. The referring doctor then assimilates other test results and makes decision on appropriate treatment.
Dr. Joseph Accurso
Radiology 29 years experience
Not much: Prominent means larger than normal. If the radiologist was reading a chest x-ray, the heart size changes a bit between diastole (relaxed and filling with blood) and systole (heart contracting to pump the blood), so some variability is to be expected between chest x-rays.

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Last updated May 4, 2013
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