Cardiac Imaging Insights: Mitral Regurgitation, Aortic Insufficiency, and Cardiomyopathy Cases
This document presents a collection of cardiac imaging cases by Dr. Wallace T. Miller Jr., highlighting various conditions such as mitral regurgitation and stenosis, aortic insufficiency, idiopathic cardiomyopathy, and pericardial effusion in patients with chronic renal issues. Each case includes patient histories, imaging findings, and differential diagnoses, shedding light on the complexities of cardiovascular diseases. References to specific anatomical changes and clinical presentations are provided to support understanding among medical professionals and students.
Cardiac Imaging Insights: Mitral Regurgitation, Aortic Insufficiency, and Cardiomyopathy Cases
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Presentation Transcript
Rad 5: CD Wallace T. Miller, Jr. M.D. Associate professor of Radiology and Pulmonary and Critical Care Medicine wallacejr.miller@uphs.upenn.edu
00852304.cm • Normal Study
00472223.bs • 56 woman Hx rheumatic fever as a child now with dyspnea and scant hemoptysis
00472223.bs • 56 woman Hx rheumatic fever as a child now with dyspnea and scant hemoptysis
Mitral Regurgitation and Stenosis • LA Enlargment = Mitral valve disease • Double density • 4th mogul • Elevation of L mainstem broncus • Posterior displacement of upper heart border
01022261.ju • 56 male engineer with increasing dyspnea with exertion
01022261.ju • 56 male engineer with increasing dyspnea with exertion
Aortic Insufficiency • Schmoo heart • LV enlargement • Aortic root enlargment • Differential diagnosis • AI • Systemic HTN • Late stage AS (Ischemic heart disease –LV enlargment, no root dilatation)
00963067.gr • 33 woman with poor exercise tolerance
Idiopathic Cardiomyopathy • Grapefruit heart • Normal shape but too big for body • Differential diagnosis • Cardiomyopathy • Pericardial effusion
00650542.lk • 36 man with chronic renal insufficiency, sp renal Tx, now with fevers.
00650542.lk • 36 man with chronic renal insufficiency, sp renal Tx, now with fevers.
00650542.lk • 36 man with chronic renal insufficiency, sp renal Tx, now with fevers.
Pericardial Effusion in Patient with Renal Failure pericardium • Smaller heart in a big pericardium Incidental R aortic arch
00472223.bs Mitral heart Schmoo heart Grapefruit heart MS AI cardiomyopathy MR HTN pericardial effusion AS
00904570.tt • 49 man post op
00904570.tt • 49 man post op
00942831.rk • Two elderly women, post op.
00942831.rk • Two elderly women, post op.
00942831.rk • Two elderly women, post op.
00960765.ea • Two elderly women, post op.
00960765.ea • Two elderly women, post op.
00472223.bs • 56 woman Hx rheumatic fever as a child now with dyspnea and scant hemoptysis