As pulmonary edema fluid initially collects in the interstitium, mild pulmonary edema shows the following features: loss of definition of pulmonary vasculature peribronchial cuffing Kerley B lines reticulonodular pattern thickening of interlobar fissures If the...
Evidence of a pericardial effusion can be as follows: a) a globular heart b) loss of the indentations of the left mediastinal border c) separation of peri- and epicardial fat pads on lateral film. The appearance is very similar to a dilated cardiomyopathy, therefore...
PA film of a patient with a large pericardial effusion. Note the abnormal (>0.5) cardiothoracic ratio and classic “globular” shape to the heart. Other features of pericardial effusion (not seen) include a loss of the indentations on the left mediastinal border and,...
A prosthetic mitral valve is noted on PA and lateral radiographs of a patient with rheumatic heart disease. Sternal wires are most likely from the valve replacement surgery. There is also evidence of consolidation in the right lower lobe.
Note the calcified mitral valve on this lateral projection of a patient with rheumatic heart disease.
Evidence of an enlarged left ventricle can be as follows: a) displacement of cardiac apex inferiorly and posteriorly b) boot shaped heart c) Rigler’s sign (on the lateral film, from the junction of IVC and heart at the level of the diaphragm, measure 1.8 cm...
This patient had rheumatic heart disease with mitral stenosis. Left atrial enlargement is suggested by the “double contour” sign, (i.e. 2 right heart borders), and the “ballerina” sign, an increase in the angle between the left and right main...
Advanced atherosclerotic calcification of the coronary arteries is noted in this lateral radiograph.
Calcification of the aortic valve (arrow) is best noted on the lateral projection in this elderly patient.
Note the markedly widened mediastinum in the AP view (below), which is suggestive of aortic aneurysmal/dissection disease. The CTs presented below show the “snowman” sign depicting the aneurysm, filling defects, and and extravasation.
