300
Heart size can be reliably assessed only from the PA chest
film. The maximum transverse diameter of the heart is compared with the maximum transverse diameter of the thorax measured from the inside of the ribs to give this ratio.
What is The cardiothoracic ratio (CTR)? (usually <50%, except in neonates, infants, athletes and patients with skeletal abnormalities such as scoliosis and funnel chest.)