EURORAD ESR

Case 12016

Porcelain left atrium

Author(s)
Y Weerakkody (FRANZCR)

Royal Perth Hospital, Perth, Australia
 
Patient
female, 80 year(s)
 
 
  • Figure 1
    Initial radiographs
     

    Frontal chest radiograph demonstrates sternotomy wires, a Star-Edwards cardiac valve replacement as well as marked cardiomegaly. There is also mild to moderate degree of central pulmonary venous congestion.

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Pathology;

    Lateral projection additionally shows faint sheet like calcifications outlining the left atrial wall (arrowed).

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    CT scan
     

    Selected axial CT images confirm large sheet like calcifications outlining considerable portions of the left atrial wall. The left atrium is enlarged in keeping with known prior history of mitral regurgitation.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Selected axial CT images confirm large sheet like calcifications outlining considerable portions of the left atrial wall. The left atrium is enlarged in keeping with known prior history of mitral regurgitation.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 3
    CT coronal

    Selected coronal image further illustrates sheet like calcification involving the left atrial wall. The Star-Edwards mitral valve has also been profiled on this image.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
Frontal chest radiograph demonstrates sternotomy wires, a Star-Edwards cardiac valve replacement as well as marked cardiomegaly. There is also mild to moderate degree of central pulmonary venous congestion.
 
Lateral projection additionally shows faint sheet like calcifications outlining the left atrial wall (arrowed).
 
Selected axial CT images confirm large sheet like calcifications outlining considerable portions of the left atrial wall. The left atrium is enlarged in keeping with known prior history of mitral regurgitation.
 
Selected axial CT images confirm large sheet like calcifications outlining considerable portions of the left atrial wall. The left atrium is enlarged in keeping with known prior history of mitral regurgitation.
 
Selected coronal image further illustrates sheet like calcification involving the left atrial wall. The Star-Edwards mitral valve has also been profiled on this image.
 
 
 
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