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I'm not saying he's false as I don't know your history or seen your x-ray either but how I learned to read a radiograph...specifically for an enlarged heart (eccentric or concentric hypertrophy)... I would first assess the total width of the heart in respect to the diameter of the chest wall. Anything >50% is abnormal and would require further evaluation. As far as the spots go...it could mean lots of things...from what you said about your bp i'm guessing calcification of one of the coronary vessels but the only test that you can have to assess the severity would be a coronary catheterization.
I wish you the best of luck man.
Calcification is what he said he thought it was. But I have two separate spots, bottom right and upper left.
Any idea what could cause that?