EURORAD ESR

Case 13323

Traumatic pericardial rupture

Author(s)
Joelin Teh, Fatima Zakeer, Chandra Hewavitharana

Royal Perth Hospital;
197 Wellington Street
6000 Perth;
Email:joelinteh@yahoo.com.my
 
Patient
female, 64 year(s)
 
 
  • Figure 1
    Supine mobile chest radiograph in ICU

    Mobile chest radiograph demonstrated a prominent cardiac silhouette with rotation of the cardiac axis. A left pleural drain was inserted for a pneumothorax.

     
    Area of Interest: Cardiovascular system; Emergency; Mediastinum; Imaging Technique: Conventional radiography; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
  • Figure 2
    Post-operative CT chest

    Axial CT chest confirmed a change in cardiac axis with displacement of the heart into the left hemithorax.

     
    Area of Interest: Cardiac; Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 3
    CT chest with lung reformats

    Lung window demonstrated a right-sided pneumopericardium, a left pneumothorax and displacement of the heart into the left hemithorax.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
  • Figure 4
    CT chest with coronal MIPS reformat

    Coronal reformats showed an abnormal, horizontally oriented left ventricle.

     
    Area of Interest: Cardiac; Cardiovascular system; Mediastinum; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
Mobile chest radiograph demonstrated a prominent cardiac silhouette with rotation of the cardiac axis. A left pleural drain was inserted for a pneumothorax.
 
Axial CT chest confirmed a change in cardiac axis with displacement of the heart into the left hemithorax.
 
Lung window demonstrated a right-sided pneumopericardium, a left pneumothorax and displacement of the heart into the left hemithorax.
 
Coronal reformats showed an abnormal, horizontally oriented left ventricle.
 
 
 
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