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49M heart CAD CT CHF
Portable CXR shows cardiomegaly with interstitial edema indicating moderate CHF
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
Scout Films Prior to the CT show left atrial enlargement wit double density and left ventricular enlargement
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
Scout Films Prior to the CT show left atrial enlargement wit double density and left ventricular enlargement
Ashley Davidoff TheCommonVein.net

Enlarged LA

49M heart CAD CT CHF
Axial image through the left atrium and LVOT reveals an enlarged left atrium (5.1cms) right sided pleural effusion and suggestion of right hilar adenopathy
Ashley Davidoff
TheCommonVein.net

Enlarged LV

49M heart CAD CT CHF
Axial image through the left ventricle an enlarged left ventricle(5.3cms)and mild to moderate right sided pleural effusion.
Ashley Davidoff
TheCommonVein.net

Enlarged MPA

49M heart CAD CT CHF
Axial image through the main pulmonary artery (MPA) reveals an enlarged MPA (3.4 cms) and right sided pleural effusion and suggestion of right hilar adenopathy
Ashley Davidoff
TheCommonVein.net

 

Calcification of the Proximal and Mid LAD and mediastinal and Hilar Adenopathy

49M heart CAD CT CHF
Axial image through the region of the RVOT reveals calcification of the proximal and mid LAD a right sided pleural effusion and right hilar and subcarinal adenopathy
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
Axial image through the region of the brachiocephalic vessels reveals and azygous adenopathy
Ashley Davidoff
TheCommonVein.net

Diffuse Ground Glass Changes, Extensive Interlobular Septal Thickening and Kerley B Lines

49M heart CAD CT CHF
CT scan through the chest at the level of the MPA shows peri bronchial thickening, ground glass changes dominant in the RLL, extensive interlobular septal thickening and Kerley B lines
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
CT scan through the chest at the level of the RVOT shows, ground glass changes dominant in the middle lobe, extensive interlobular septal thickening and Kerley B lines
Ashley Davidoff
TheCommonVein.net

Mosaic Perfusion Abnormalities

49M heart CAD CT CHF
CT scan through the chest at the level of the left atrium shows, ground glass changes dominant in the lower lobes, extensive interlobular septal thickening, Kerley B lines, and mosaic perfusion abnormalities
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
CT scan through the chest at the level of the left atrium shows, ground glass changes dominant in the lower lobes, extensive interlobular septal thickening, Kerley B lines, and mosaic perfusion abnormalities
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
CT scan through the chest at the level of the left atrium shows, ground glass changes dominant in the lower lobes, extensive interlobular septal thickening, Kerley B lines, and mosaic perfusion abnormalities
Ashley Davidoff
TheCommonVein.net

 

Kerley lines including Kerley A and Kerley B Lines

  • 2-6 cm long oblique lines t
  • <1 mm thick
  • course towards the hila.
    • thickening of the interlobular septa with
    • lymphatic connections between the
      • perivenous and
      • bronchoarterial lymphatics
      • chest Xray and CT
        • cross normal vascular markings
        • extend
          • to the hilum from
          • the upper lobes.
49M heart CAD CT CHF
CT scan in the coronal plane through the chest at the level of the RV  shows Kerley A lines
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
CT scan in the coronal plane through the chest at the level of the RV  shows Kerley A and Kerley B lines
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
CT scan in the coronal plane through the chest at the level of the LV shows Kerley A lines and Kerley B lines with mild ground glass changes in the right upper lobe
Ashley Davidoff
TheCommonVein.net

Mosaic Attenuation

49M heart CAD CT CHF
CT scan in the coronal plane through the chest at the level of the spine posteriorly  shows Kerley B lines interlobular septal thickening, ground glass , and mosaic attenuation changes 
Ashley Davidoff
TheCommonVein.net

 

Following Therapy – Resolution of heart Failure

49M heart CAD CT CHF
Ashley Davidoff
TheCommonVein.net
49M heart CAD CT CHF
Ashley Davidoff
TheCommonVein.net