instruction: hello doctor I am a 26 year old female I recently found out via online test results that I have an enlarged heart but no reason was given for why it is enlarged or how enlarged it is the impression is cardiomegaly with no evidence of focal infiltrate I am currently obese but in good health with the exception of this enlarged heart and insulin resistance not diabetic or insulin dependent is it too late to reverse this heart enlargement with diet weight loss and lifestyle changes I am currently on metformin xanax and proverb
output: hi enlarged heart only on chest ray is not reliable ray is just like a shadow the farther you stand from the wall the larger will be your shadow in the same way if you stand away from ray film even a few centimeters it will give an enlarged shadow of heart on the film best way to assess the size of the heart is via echocardiography is indicated if you have symptoms of shortness of breath not explained from other causes if you have such symptoms have echocardiography and egg done I hope these will be normal