CARDIAC RADIOLOGY..(IMAGE SAMPLES)..

1. 
   Pulmonary Edema — Cardiogenic

• 73 year-old with shortness of breath

1. Pulmonary Sling

1. 
   
2. 
   
3. Pulmonic Stenosis

1. Right Aortic Arch 

1. Ruptured Abdominal Aortic Aneurysm

1. Ruptured Left Ventricular Aneurysm

1. Sinus of Valsalva Aneurysm

• 64 year-old male undergoing pulmonary embolism work-up

1. Total Anomalous Pulmonary Venous Return

Cyanotic 8 month old 

1. Twiddler's Syndrome

1. Mirror-image Right Aortic Arch 

Mirror-Image Right Aortic Arch Aortic Anomalies Right Aortic Arch General Most are asymptomatic Unless they cause encircling vascular ring like pulmonary sling Can be complex lesions requiring multiple projections MRI or CT Left Aortic Arch With Anomalous Right Subclavian Artery (RSCA)   Occurs in less than 1% of people RSCA passes posterior to esophagus Pushes trachea and esophagus forward Produces oblique shadow above aortic arch on frontal film Origin of RSCA may be dilated Diverticulum of Kommerell technically was defined with a right aortic arch and anomalous left subclavian artery (LSCA) Right Aortic Arch   Types At least five different types Only two of importance Mirror Image Type — Type I Aberrant left subclavian — Type II General considerations Recognized by leftward displacement of barium-filled esophagus Of air-filled trachea Aortic knob is absent from left side Aorta descends on right Para-aortic stripe returns to left side of spine just above diaphragm Mirror-image type almost always has associated congenital heart disease (CHD) Usually Tetralogy of Fallot Aberrant Left Subclavian type rarely has associated CHD Most common variety of right arch Type 1—Mirror Image Type  Secondary to interruption of left arch just distal to ductus arteriosis Associated with congenital heart disease 98% of time Imaging Findings No posterior impression on trachea or barium-filled esophagus Heart is usually abnormal in size or shape Aorta descends on right Mirror-image right aortic arch. This contrast-enhanced axial CT scan at the level of the aortic arch demonstrates a right sided-aortic arch. There is no retrotracheal, retroesophageal aberrant left subclavian artery. This is the mirror-image variety with a high association with congenital heart disease..

1. Penetrating Aortic Ulcer

1. Pericardial Effusion

1. Persistent Left Superior Vena Cava

1. Pulmonary Arterial Hypertension

Mitral stenosis

• 72 year-old with shortness of breath,     Mitral Annulus Calcification

Lipomatous Hypertrophy of the Interatrial Septum

Left Ventricular Aneurysm

. Leriche Syndrome

Left Superior Intercostal Vein

Left Atrial Calcification-Mitral Stenosis

Dissecting Aortic Aneurysm

57 year-old male

Click to Enlarge

What's the most likely diagnosis?

• 47 year-old with dyspnea,             Constrictive Pericarditis

Congenital Defect in the Pericardium

41 year-old male, pre-op for hernia surgery