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When gently pressing with the hand (palpation) on the chest, there may be a lift produced by the beating of the enlarged right ventricle. Similarly, there may be a pulsation over the liver. The liver and spleen may be enlarged.
Listening to the heart with a stethoscope shows a murmur or abnormal sounds. Ascites (collection of fluid in the abdomen associated with liver disorders) may be present.
Enlargement of the right side of the heart may show on an ECG or echocardiogram.
Pressures inside the heart and lung may need to be measured with Doppler echocardiography or right-sided cardiac catheterization.
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