Skiing Down the Moguls of the Heart

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Rupal Jain
Resuscitationist interested in #MedEd and Emergency Radiology. Secret Superpower: x-ray vision, obvs. Other: Audiovisual learner enthusiastic about creating some audiovisual educational content

The Debrief

  1. Skiing down the cardiomediastinal silhouette on a chest x-ray can provide *mounds* of information
  2. The third mogul is NEVER normal (90% of the time it indicates rheumatic heart disease, but can also be due to left atrial enlargement from cardiac aneurysm, coronary artery aneurysm, pericardial cyst/defect, tumor)


  1. A chest radiograph showing abnormal mediastinal contour. Chest. 1996 May;109(5):1383-4.
  2. Daves ML. Skiagraphing the mediastinal moguls. New Physician. 1970. 19:49-54.


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