by Tim Milligan | Nov 12, 2015 | Cardiovascular
Right ventricular hypertrophy is suggested by elevation of the cardiac apex from the diaphragm on this PA projection of a patient with rheumatic heart disease. The lateral view supports the diagnosis by demonstrating loss of the retrosternal airspace and increased...
by Tim Milligan | Nov 12, 2015 | Cardiovascular
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...
by Tim Milligan | Nov 12, 2015 | Cardiovascular
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...
by Tim Milligan | Nov 12, 2015 | Cardiovascular
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,...
by Tim Milligan | Nov 12, 2015 | Cardiovascular
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.
by Tim Milligan | Nov 12, 2015 | Cardiovascular
Note the calcified mitral valve on this lateral projection of a patient with rheumatic heart disease.