Case 3
Using the ABCDE system, (A-airway, B-bones, C-cardiomediastinal, D-diaphragm, E-everything else), decide which area is abnormal in this case.
Question 1:
a) What are possible explanations of the imaging findings.
×
Answer:
The cardiac silhouette is markedly enlarged. Things to consider would be cardiomegaly vs pericardial fluid. If fluid, this could represent bleeding, infection, tumor, or transudate.
The cardiac silhouette is markedly enlarged. Things to consider would be cardiomegaly vs pericardial fluid. If fluid, this could represent bleeding, infection, tumor, or transudate.
b) What additional imaging is indicated?
×
Answer:
The simplest thing would be to do a cardiac echo, which would show if this is heart or pericardium, and could also serve to guide a tap (for fluid) for both diagnosis and symptom relief. If there is concern for aneurysm, dissection, or rupture, MRI might be considered vs. CT scanning, depending on the level of acuity of symptoms.
The simplest thing would be to do a cardiac echo, which would show if this is heart or pericardium, and could also serve to guide a tap (for fluid) for both diagnosis and symptom relief. If there is concern for aneurysm, dissection, or rupture, MRI might be considered vs. CT scanning, depending on the level of acuity of symptoms.
