“…Dennis et al (2010) opined that increased diagnostic yield and accuracy of cardio-thoracic radiographic appraisals is achieved by the use of these four thoracic radiographic projections. Some of the radiographic indices that depict the size of cardiac silhouette include the cardio-clavicular ratio (Gardner et al, 2007), cardiac long axis-thoracic height ratio (Diniz et al, 2013), vertebral heart score (VHS) (Luciani et al, 2019), vertebral left atrial size (Puccinelli et al, 2021), cardio-thoracic ratio (CTR) (Sak and Pazvant, 2021), aorticocardiac ratio (Ukaha et al, 2002) and cardiac axis ratio (CAR) (Ukaha et al, 2002). However, CTR, VHS and CAR are of interest in the present study.…”