CARDIO-VASCULAR DIAGNOSTIC WORKSHOP: FLUOROSCOPY AND X-RAYS
Information concerning the heart and lungs can be gained from fluoroscopy and chest X-rays. The size and form of the heart (ventricles, aorta and auricles) are of particular interest, because enlarged auricles and ventricles indicate an overburdened and congested, decompensated heart muscle. It is not difficult to detect calcification of the valves, heart sac (pericardium), and aorta, or fluid in the lungs, both of which indicate that the heart is weakened. The success of the therapy may be measured by comparing these films to later X-rays. A patient who looks at a chest X-ray for the first time can easily recognize the vertebral column and ribs, but is likely to be disappointed when he tries to identify the heart, because it does not resemble the idealized form found in love letters. The heart as seen on an X-ray is simply a dense white shadow or sac without definite contours.