CARDIAC INX-ABNORMALITIES ON PA CXR

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SUMMARY

1. Coarctation of the aorta (COA): absence of aortic arch, prominent left SCA, coarctation, post-stenotic dilatation of descending aorta.2. Cardiac failure: prominent pulmonary vasculature in the UL, cardiomegaly, Kerley-B lines, pleural effusion (right > left).
3. Anomalous pulmonary vein: drains into the IVC, 'scimitar' sign.
4. Aortic abnormalities: calcification, widening of aortic dissection, unfolding of the aortic arch (senility or dissection).
5. Pericardial effusion: bulbous cardiac silhoutte.


Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].