Radiology of the cardio-vascular

system BY : PROF. ABDUL-RAOUF YASSIN

ABDULMAJEED

In The Name Of God The Most Merciful The Most Compassionate

Ahfad University for womenfaculty of medicine

radiology department

Acute intra-alveor pulmonary edema in a patient with left heart failure . Note the central distribution of edema fluid ‘bats wing shadow’ in the upper and lower zones of the lung ..

Patient with pulmonary hypertension and pulmonary artery thrombosis involving the right main stem. Note the very dilated clubbing main artery and very marked pruning of the very small distal vessels .

Pericardial effusions …

The causes are :

1. Inflammatory : Tuberculous pericarditis.Rheumatic pericarditis.Suppurative pericarditis .Viral pericarditis (assosiated with non

specific myocarditis )

2. Non Inflammatory : Heart failure .Uremia Hemocardium due to : trauma as a sequel to cardiac or aortic rupture .Myocardial infarction .3.Malignant pericarditis

Massive pericardial effusion

Constrictive pericarditis with extensive calsification of the pericardium , clearly visible on the frontal projection and also shown on the lateral projection . Old plural thickening at the left base .

Mitral valve disease …

1. Predominant mitral stenosis. The left atrium is primarily affected in mitral heart disease and there can be considerable variations in the degree of its enlargement . When the left atrium assumes aneurysmal proportions , the chamber may form the bulk of the heart shadow and produce a rather bizarre cardiac configuration .esophageal displacement, too may be extreme and the esophagus may not be only displaced posteriorly but also laterally, usually to the right ,very occasionally to the left . Is in these patients bronchial compression occur ,if partial stridor takes place if complete lobar collapse (left lower lobe )

Patient with moderate mitral stenosis There is prominent left atrium appendage,

slight prominence of main pulmonary artery and steep left cardiac border .

B/ lateral film of same patient the slight left atriual enlargement is clearly shown by the displacement of the esophagus .

Mitral stenosis and incompetence , there is left atrial enlargement and slight right ventricular enlargement with prominence of the main pulmonary artery . There is right atrial enlagment due to tricusped incompetence

Aneurysmal dilatation of the left atrium , the champer forming the bulk of the heart shadow

Lateral film of the same patient showing gross displacement of the esophagus by the aneurysmal dilatation of the left atrium