Enlarged Heart More Condition_symptoms Tim Russert's Enlarged Heart - Could Ultrasound Or Other Imaging Have Detected It Earlier?

Tim Russert's enlarged heart - could ultrasound or other imaging have detected it earlier? - enlarged heart more condition_symptoms

"An autopsy showed that Mr. Russert an enlarged heart and significant coronary artery disease had." Does not mean that they do not have a regular health check? Collected should not be there before it's too late? Then an ultrasound or other images will be found, the heart enlarged?