Introduction to Cardiovascular

Radiography
Spencer M. Smith, M.D.
August 24, 2007
 Cardiovascular Chest X Rays
Anatomy
Normal anatomy
Cardiac Pathology
Focus on Congestive Heart Failure
Non cardiovascular mimics of CHF
Section I Normal
Normal Heart Size

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Hearts chambers

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Retrosternal

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Mediastinal borders

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Aorta

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Aorta

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Pulmonary arteries

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Azygous Fissure

ACR disk
Section II Pathologic anatomy
Left Atrial enlargement
Mitral regurgitation
after heart attack from
papillary muscle
rupture

ACR disk
Mitral Stenosis, left atrial
enlargement

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Left Ventricular enlargement

ACR disk
Left ventricular aneurysm

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Ebsteins Anomaly

ACR disk
Aortic Aneurysm Marfans

ACR disk
Aortic stenosis

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Aortic aneurysm

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Right Aortic arch

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Situs Inversus

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Pulmonic Stenosis

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 Idiopathic Pulmonary
Hypertension Right Ventricular
enlargement

ACR disk
Tricuspid Valve

ACR disk
Triple Valve replacement

ACR disk
Pacemaker
Swan-Ganz Catheter

ACR disk
Umbilical Venous Catheter

ACR disk
Pericardial effusion

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Pericarditis TB

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Pericardial cyst

ACR disk
Section III CHF
 CHF
5 million Americans
Left ventricular failure
Fluid backs up in lungs
 CHF
Cardiomegaly
Central pulmonary edema
Pleural effusions
Septal lines
Cephalized vessels
Cardiomyopathy

ACR disk
Increased Vascularity

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Pleural effusion

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Congestive Heart Failure

ACR disk
Septal Lines - Kerley B lines

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Congestive Heart Failure

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Section IV Mimics
Normal Thymus

Rt ventricle enlargement ACR disk

Sarcoidosis - Lymphadenopathy

Pulmonary artery
enlargement
ACR disk
 Morgagni Hernia

Pericardial cyst
ACR disk
 Alveolar Proteinosis -
Noncardiac pulmonary edema

Congestive Heart Failure

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Adult Respiratory Distress
Syndrome (ARDS)

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 Summary
Normal and abnormal anatomy
Chambers, vessels, pericardium
Congestive Heart Failure
Noncardiac Mimics of CHF
Other Cardiac Pathology
End