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A chest X-ray which is read as having a borderline heartsize is one in which the size of the heart is at the very upper limit of normal. This means that the actual heart size may be normal or slightly increased. If there is a suspicion of increased size based on symptoms, physical exam or EKG, as well as the chest x-ray, an echocardiogram may be performed to determine if it truly is enlarged. Only your physician can decide if this is warranted in your particular case.

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Q: What does the heart to be borderline in size mean?
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