Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

23 results found
Article

Cardiac calcification

Cardiac calcification is a broad term for any calcification affecting the valves, coronary arteries, aortic root, endocardium, myocardium, and/or pericardium. Pathology Causes of cardiac calcification are: coronary artery disease (most common) coronary artery aneurysms, e.g. in Kawasaki dise...
Article

Cardiomegaly

Cardiomegaly is a catch-all term to refer to enlargement of the heart, and should not be confused with causes of enlargement of the cardiomediastinal outline, or enlargement of the cardiac silhouette.  Pathology Etiology There are many etiologies for cardiomegaly: congestive heart failure i...
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Cardiovascular shunts

Cardiovascular (cardiac) shunts are abnormal connections between the pulmonary and systemic circulations. Most commonly they are the result of congenital heart disease. Pathology Blood can either be shunted from the systemic circulation to pulmonary circulation (i.e. 'left-to-right shunt') or ...
Article

Carotid pacemaker

Carotid pacemakers, also known as implantable carotid sinus stimulators, are devices that deliver activation energy, via carotid leads, to the carotid baroreceptors. This is sometimes offered for drug-resistant hypertension. The baroreceptors send signals to the brain and the signals are interpr...
Article

Cyanotic congenital heart disease

A number of entities can present as cyanotic congenital heart disease. These can be divided into those with increased (pulmonary plethora) or decreased pulmonary vascularity : increased pulmonary vascularity total anomalous pulmonary venous return (TAPVR) (types I and II) transposition of the...
Article

Delayed myocardial enhancement on MRI (differential)

Delayed myocardial enhancement can occur in cardiac MR assessment due to a number of causes. They include: myocardial ischemia: typically subendocardial and follows a vascular territory 1 non-ischemic cardiomyopathies hypertrophic cardiomyopathy non-ischemic dilated cardiomyopathy arrhythm...
Article

Differential diagnosis for a small cardiothoracic ratio

A small cardiothoracic ratio (CTR) is defined as <42%/0.42 when assessed on a PA chest radiograph, and is often called small heart syndrome. A pathologically-small heart is also known as microcardia.It can be due to/associated with a number of entities: adrenal insufficiency, e.g. Addison disea...
Article

Enlarged azygos vein

An enlarged/dilated azygos vein may result from a number of physiological as well as pathological causes. The enlarged azygos vein may be seen as a widened right paratracheal/paraspinal stripe on a frontal chest radiograph. Terminology Spelling it "azygous" when referring to the vein is incorr...
Article

Enlarged pulmonary trunk on chest radiography (differential)

The differential of an enlarged pulmonary trunk/main pulmonary artery on chest radiography includes:  normal may appear prominent in young patients especially women projectional rotation lordotic view rotation of the heart pectus excavatum left lower lobe collapse pulmonary arterial hyp...
Article

Fat containing cardiac lesions

Fat containing cardiac lesions have a limited differential diagnosis. These include 1-4: normal aging/physiologic: mostly subepicardial, more in the right ventricle (especially right ventricular outflow tract) than left ventricle lipomatous hypertrophy of the interatrial septum chronic myocar...
Article

Fetal cardiac tumors

Fetal cardiac tumors refer to primary cardiac tumors that can present in the in utero population.  Epidemiology Fetal cardiac tumors are rare; the prevalence, reported from autopsy studies of patients of all ages, varies from 0.0017-0.28 % 2. Pathology Known cardiac tumor types that present ...
Article

Hemopericardium

Hemopericardium refers to the presence of blood within the pericardial cavity, i.e. a sanguineous pericardial effusion. If enough blood enters the pericardial cavity, then a potentially fatal cardiac tamponade can occur.  Pathology Etiology There is a very long list of causes 1,4 but some of ...
Article

HIV/AIDS (cardiovascular manifestations)

Cardiovascular manifestations are seen with increased frequency in the HIV/AIDS adult population, and include: pericardial effusions dilated cardiomyopathy (prevalence 8-30%) endocarditis: either infective or non-bacterial thrombotic (marantic) which is associated with malignancy or HIV wasti...
Article

Medical devices in the thorax

Medical devices in the thorax are regularly observed by radiologists when reviewing radiographs and CTs. Extrathoracic devices tubing, clamps, syringes, scissors, lying on or under the patient rubber sheets, foam mattresses, clothing, hair braids, nipple piercings, etc. may also be visible T...
Article

Myocardial edema

Myocardial edema refers to an increased water content of the myocardium particularly within the extracellular interstitium 1. Clinical presentation Myocardial edema often reflects an acute or subacute cardiac event, most often either ischemic or inflammatory and thus can be associated with che...
Article

Non-cardiogenic pulmonary edema

Non-cardiogenic pulmonary edema is a classification of pulmonary edema where the underlying etiology is not due to left ventricular dysfunction. Causes include: fluid overload pulmonary edema with acute asthma post-obstructive pulmonary edema/postintubation pulmonary edema/negative pressure ...
Article

Pericardial fat pads

Pericardial fat pads are normal structures that lie in the cardiophrenic angle. They are adipose tissues surrounding the heart composed of the epicardial fat, which lies between the myocardium and visceral pericardium, and paracardial fat, which is adherent and external to the parietal pericardi...
Article

Pulmonary hypertension (differential)

Pulmonary hypertension has many causes, and these can be divided in many ways. A simple and systematic approach is to proceed along the cardiopulmonary pulmonary circulation, as causes are found at each site (for a more official classification system see 2003 third world symposium on pulmonary a...
Article

Restrictive cardiomyopathy

Restrictive cardiomyopathy is the least common subtype of cardiomyopathy and is characterized by a marked decrease in ventricular compliance.  Clinical presentation Patients can present with symptoms and signs of left ventricular failure and/or right ventricular failure 9.  Pathology It is p...
Article

Right atrial enlargement

Right atrial (RA) enlargement is less common, and harder to delineate on chest radiograph, than left atrial (LA) enlargement. Pathology Etiology Enlargement of the right atrium (RA) can result from a number of conditions, including: raised right ventricular pressures pulmonary arterial hype...
Article

Troponin

Troponin is a protein of key importance in the functioning of skeletal and cardiac muscles. It forms part of the contractile mechanism and comprises three main subunits: troponin C, troponin I, and troponin T.  Troponin elevation Elevation of serum troponin can occur from a number of causes an...
Article

Valsalva maneuver

The Valsalva maneuver is the forced expiration of air against a closed airway, resulting in increased intra-abdominal, intrathoracic, and pharyngeal pressure. It can be performed against a closed glottis or by one closing the mouth and pinching the nose while forcibly exhaling. It is commonly u...
Article

Valvular heart disease

Valvular heart diseases, or cardiac valvulopathies, describe any acquired or congenital disease affecting one or more of the four cardiac valves. This is a general index article that classifies cardiac valvulopathies depending on which valve(s) is affected 1. See individual articles for in-dept...

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