EURORAD ESR

Case 13833

Haematemesis in a patient with Tetralogy of Fallot

Author(s)
Veronica Attard, Luise Reichmuth

Mater Dei Hospital, Medical Imaging Department; Triq Dun Karm MSD 2090 Msida; Email:veronica2687@gmail.com
 
Patient
female, 52 year(s)
 
 
  • Figure 1
    Anteroposterior chest radiograph

    Chest radiograph demonstrates bilateral midzone and lower zone airspace opacification. The heart is enlarged.

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Contrast-enhanced chest CT (mediastinal window)

    Axial contrast-enhanced CT image through the thorax, displayed on mediastinal window, demonstrates cardiomegaly, a large ventricular septal defect and bilateral consolidations.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    Contrast-enhanced chest CT coronal reformation (vascular window)

    Contrast-enhanced chest CT, coronal reformation, shows numerous tortuous collateral vessels in the thoracic cavity and upper abdomen. Note is also made of bilateral areas of consolidation and cardiomegaly.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 4
    Contrast-enhanced chest CT coronal reformation (lung window)

    Contrast-enhanced chest CT coronal reformation, displayed on lung window, shows numerous tortuous collateral vessels in the thoracic cavity and upper abdomen. There are bilateral areas of ground-glass opacification...

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 5
    Axial contrast-enhanced CT image (mediastinal window)

    Axial contrast-enhanced CT image demonstrates bilateral areas of ground-glass opacification, multiple MAPCAs and a dilated ascending aorta.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 6
    Contrast-enhanced chest CT coronal reformation (vascular window)

    Contrast-enhanced chest CT, coronal reformation, demonstrates multiple MAPCAs and pulmonary artery atresia.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 7
    Contrast-enhanced chest CT coronal reformation (vascular window)

    Contrast-enhanced chest CT, coronal reformation, demonstrates multiple MAPCAs and pulmonary atresia.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 8
    Contrast-enhanced chest CT (vascular window)

    Contrast-enhanced chest CT axial image demonstrates a VSD. Pulmonary atresia with a VSD is considered to be the most severe form of Tetralogy of Fallot. It is synonymous with pseudotruncus or truncus arteriosus type 4.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 9
    Contrast-enhanced chest and upper abdomen CT, sagittal reformation

    Contrast-enhanced CT of the chest and upper abdomen, sagittal reformation, shows a VSD, overriding aorta and right ventricular outflow tract obstruction.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 10
    Contrast-enhanced chest CT (vascular window)

    Contrast-enhanced CT of the chest, axial image, demonstrates atresia of the pulmonary trunk.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 11
    Contrast-enhanced chest CT (vascular window)

    Contrast-enhanced CT of the chest, axial image, again shows atresia of the pulmonary trunk.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Chest radiograph demonstrates bilateral midzone and lower zone airspace opacification. The heart is enlarged.
 
Axial contrast-enhanced CT image through the thorax, displayed on mediastinal window, demonstrates cardiomegaly, a large ventricular septal defect and bilateral consolidations.
 
Contrast-enhanced chest CT, coronal reformation, shows numerous tortuous collateral vessels in the thoracic cavity and upper abdomen. Note is also made of bilateral areas of consolidation and cardiomegaly.
 
Contrast-enhanced chest CT coronal reformation, displayed on lung window, shows numerous tortuous collateral vessels in the thoracic cavity and upper abdomen. There are bilateral areas of ground-glass opacification and bilateral consolidations.
 
Axial contrast-enhanced CT image demonstrates bilateral areas of ground-glass opacification, multiple MAPCAs and a dilated ascending aorta.
 
Contrast-enhanced chest CT, coronal reformation, demonstrates multiple MAPCAs and pulmonary artery atresia.
 
Contrast-enhanced chest CT, coronal reformation, demonstrates multiple MAPCAs and pulmonary atresia.
 
Contrast-enhanced chest CT axial image demonstrates a VSD. Pulmonary atresia with a VSD is considered to be the most severe form of Tetralogy of Fallot. It is synonymous with pseudotruncus or truncus arteriosus type 4.
 
Contrast-enhanced CT of the chest and upper abdomen, sagittal reformation, shows a VSD, overriding aorta and right ventricular outflow tract obstruction.
 
Contrast-enhanced CT of the chest, axial image, demonstrates atresia of the pulmonary trunk.
 
Contrast-enhanced CT of the chest, axial image, again shows atresia of the pulmonary trunk.
 
 
 
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