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The following are the radiologic signs of left atrial enlargement on frontal chest radiographs:
- double density sign
- distance of the right border of the left atrium from the midpoint of the left mainstem bronchus is more than 7 cm
- enlarged left atrial appendage (third mogul sign)
- uplifted left mainstem bronchus
- widening of the carinal angle (more than 90 degrees)
- atrial escape (the right border of the markedly enlarged left atrium goes beyond the right atrial margin)