The severity of enlarged heart shadow and widened aortic shadow is related to the degree of enlarged heart shadow and widened aorta, the more obvious the enlargement and widening, the more serious the condition. Enlarged heart shadow and aortic widening are abnormal manifestations. Enlarged heart shadow can be seen in hypertensive aortic valve disease, and when the heart shadow is enlarged to a certain extent, it will lead to cardiac insufficiency, or even serious heart failure, and the larger the heart shadow is, the more serious the patient’s condition is. Aortic widening can also be seen in hypertension, and some patients may have aortic diseases such as Marfan syndrome. Aortic widening causes aneurysmal dilatation of the aorta and a thinning of the aortic wall. When the aorta is widened to a certain degree, the risk of aortic dissection increases, and the more pronounced the widening, the greater the risk. Patients with enlarged heart shadows and aortic widening should be evaluated under the supervision of a physician to understand the specific risks, and treated accordingly under the physician’s guidance.