History: 70 year old male with abdominal pain status post cholecystectomy This is a case of acute contained left ventricular free wall rupture diagnosed on a CT scan of the abdomen and pelvis obtained for abdominal pain. The patient had a myocardial infarction two days prior. The table below details the mechanical complications of myocardial … Continue reading
History: 65 year old male with chest pain. This is a case of premature insulation failure in an implantable cardioverter defibrillator wire. Below is a gross picture of the failed wire. Many studies have been done on this ICD, which is called the Riata from St. Jude Medical, Inc, and have shown that insulation failure … Continue reading
History: Male with chest pain. This is the classic location and appearance of a pericardial cyst, which is an outpouching of the parietal pericardium that collects simple fluid. Pericardial cysts represent 6% of mediastinal masses. See the differential diagnosis of caridophrenic angle masses here.
History: 65 year old male status post coronary artery bypass graft surgery. The upward pointing arrow on the patient’s right labels a Swan-Ganz catheter coursing through the right internal jugular vein and ending in the right pulmonary artery. The downward pointing arrow on the patient’s left labels a mediastinal drain. The leftward pointing arrow over the patient’s … Continue reading
History: 50 year old male with shortness of breath and chest pain. This is the classic “Oreo Cookie Sign” of pericardial effusion on the lateral chest radiograph. The most anterior radiolucent line (indicated by the red arrow) is the epicardial fat, the radiopaque line is the pericardial effusion, and the posterior radiolucent line (indicated by … Continue reading
History: 60 year old male with lower extremity edema and shortness of breath. This is an excellent example of Kerley B lines. These lines are created by interlobular septal thickening, typically created by fluid collecting within the pulmonary interstitium. Classically Kerley B lines are seen with cardiogenic pulmonary edema, where left ventricular failure causes increased … Continue reading