Tuesday, 30 December 2014

CVS radiology

RADIOLOGY CVS 

1) egg on side appearance-- uncorrected TGA. 
2) boot shaped heart--TOF. 
3) BOX shaped-- ebstein anomaly 
4)flask shaped-- pericardial effusion. 
5) egg in cup appearance-- constrictive pericarditis 

6)snowman/figure of 8 / cottage loaf sign-- TAPVC. 
7)Docks/figure of 3/E- sign= coarctation of aorta. 
8) jug handle appearnce = primary pulm HTN. 
9) MALADIE DE ROGER DEFECT= SMALL VSD 
10) Hilar dance = ASD. 

11) goose neck sign= endocardial cushion defect. 
12)schimitar sign= partial anamolous pulmonary vein return. 
13)convex left heart border= L-TGA. 
14)straight left upper cardiac border= ebstein anomaly.
15) concave main pulmonary segment & right aortic arch= persistent truncus arterious 

16) calcifiction of heart= carcinoid syndrome. 
17)cardiothoracic ratio should be < 0.5 
18)lamda sign= small ascending aorta in hypoplastic left heart syndrome. 
19)severe stenosis - mitral valve diameter < 1 sq.cm 
20) uhl disease= parchment right ventricle 

21) IOC for aortic dissection-- MRI 
22) IOC for pericardial effusion= M- mode ECHO. 
23)IOC for valvular disease = 2 D - ECHO. 
24) INVERTED MOUSTACHE SIGN= MITRAL STENOSIS.
25) IOC FOR RADIOTHERAPY CAUSED FIBROSIS= BIOPSY

26)small heart 
*normal variant 
*emphysema 
*addisons disease 
*dehydration/malnutrition 
*constrictive pericarditis. 

27) CARDIAC SHADOW 
*right= superior venacava,right atrium,inf venacava 
*left=aortic knuckle,pulm artery,left atrial appendage,RV,LV 

28)mitral stenosis 
*straightening of the left border of the cardiac silhouette 
*double atrial shadow. 
*prominence of the main pulm artery 
*dilatation of the upperlobe pulm veins. 
*backward displacement of esophagus 
*kerley b lines 

29) non obstructive TAPVC 
*cardiomegaly with plethoric. 
*snow man or figure of 8 configuration. 

30)obstructive TAPVC 
*normal sized heart 
*ground glass appearance of lung due to severe pulmonary HTN. 

31)m.c calcification of aorta= syphilitic aortitis. 
32)ascending aorta commonest site of calcification. 

33)CCF 
*enlarged cardiac silhouette. 
*ground glass appearance 
*kerley b lines 
*prominence of upper lobe blood vessel. 
*pleural effusion, usually bilateral. 

34)even quantities as small as 20-50 ml of pericardial fluid can be diagnosed by echocardiography 

35) spring water cyst also k/a pleuro-pericardial cyst or pericardial coelomic cyst. 

36)SMALL VSD 
*normal 
*minimal cardiomegaly 
*minimal increase in pulmonary vasculature 

37) LARGE VSD 
*gross cardiomegaly 
*dilatation of both ventricles, left atrium,pulm artery. 
*increased pulmonary vascular marking,pulmonary edema &pleural effusion 

38)gross cardiac enlargement 
*multiple valvular disease. 
*pericardial effusion 
*ASD 
*cardiomyopathy 
*ebstein anomaly

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