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X ray of the week <br />Prof. S. TITO`s Unit<br />
CX ray in ASD<br />Cardiomegaly<br />		1.RA enlarged <br />			LA seldom enlarged – mostly in elderly<br />		2.RV enlarged,...
Pulmonary Vasculature<br />		- increased pul artery and venous vasculature up to peripheries<br />		- enlarged pulmonary t...
CXR in Congenital heart Disease <br />Need PA and Lateral views<br />Find <br />		Heart size,position and silhouette<br />...
HEART SIZE AND SILHOUETTE <br />Cardiomegaly - 	Epstein&apos;s anomaly, <br />		later stages of shunt lesions and shunt re...
ENLARGEMENT OF INDIVIDUAL CHAMBER <br />Lt Atrial Enlargement :<br />	 Ventricular septal defect,<br />	Patent ductusarter...
ENLARGEMENT OF INDIVIDUAL CHAMBER <br />RtAtrial Enlargement<br />Ebstein’s anomaly <br />Atrialseptal defect <br />Atriov...
PULMONARY VASCULATURE<br />Pulmonary Plethora<br />Acyanotic – ASD, VSD, PDA, Endocardial cushion defects, partial TAPVC<b...
OTHER STRUCTRES :<br /><ul><li>Location of the liver and gastric fundus
Aorta identification – Rt arch – TOF, Truncusarteriosus</li></ul>		        “Figure 3” sign – Coarctation of aorta<br /><ul...
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X-Ray - ASD

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X-Ray - ASD

  1. 1. X ray of the week <br />Prof. S. TITO`s Unit<br />
  2. 2.
  3. 3. CX ray in ASD<br />Cardiomegaly<br /> 1.RA enlarged <br /> LA seldom enlarged – mostly in elderly<br /> 2.RV enlarged,forms apex<br /> 3.All chambers enlarged in large shunt<br /> 4.Localized enlargement of SVC attachment – in sinus venosus type<br />
  4. 4. Pulmonary Vasculature<br /> - increased pul artery and venous vasculature up to peripheries<br /> - enlarged pulmonary trunk (jughandle) and its main branches.<br />Ascending Aorta rarely forms the heart border<br />
  5. 5. CXR in Congenital heart Disease <br />Need PA and Lateral views<br />Find <br /> Heart size,position and silhouette<br /> Enlargement of specific cardiac chamber<br /> Pulmonary vasculature<br /> other structures<br />
  6. 6. HEART SIZE AND SILHOUETTE <br />Cardiomegaly - Epstein&apos;s anomaly, <br /> later stages of shunt lesions and shunt reversals <br />Silhouette <br />TOF – boot <br />Persistent truncusarteriosus. <br />Sitting duck shape<br />Ebstein anomaly. <br />Box-shaped, <br />square heart<br /> TAPVC(supracardiac) <br />Snowman, figure of 8<br />TGA<br /> egg-shaped or<br /> apple on a string<br />Corrected TGA<br />
  7. 7. ENLARGEMENT OF INDIVIDUAL CHAMBER <br />Lt Atrial Enlargement :<br /> Ventricular septal defect,<br /> Patent ductusarteriosus<br />Atrialseptal defect with shunt reversal<br /> ASD with tricuspid atresia<br />Aortopulmonary window<br />Lt Ventricle Enlargement<br /> Ventricular septal defect <br /> Patent ductusarteriosus, <br />Aortopulmonary window, <br />Atrioventricular canal<br />
  8. 8. ENLARGEMENT OF INDIVIDUAL CHAMBER <br />RtAtrial Enlargement<br />Ebstein’s anomaly <br />Atrialseptal defect <br />Atrioventricular canal<br /> Pulmonary hypertension<br /> TAPVC<br /> Sinus of Valsalva fistula<br /> congenital tricuspid stenosis or atresia<br />Rt Ventricle Enlargement<br /> Left-to-right shunt<br /> Idiopathic pulmonary hypertension<br /> Pulmonary arteriovenous malformations<br /> pulmonary stenosis<br />
  9. 9. PULMONARY VASCULATURE<br />Pulmonary Plethora<br />Acyanotic – ASD, VSD, PDA, Endocardial cushion defects, partial TAPVC<br /> Cyanotic –TGA, TAPVR, hypoplastic left heart syndrome,<br /> persistent truncusarteriosus, a single ventricle<br />Pulmonary Olgaemia<br /> Tricuspid atresia, Tetralogy of Fallot<br />Ebstein’sanomaly,Pulmonarystenosis, Uncorrected transposition with PVS, <br />Eisenmenger reaction<br />PULMONARY VENOUS CONGESTION <br /> TAPVR, cortriatriatum<br />Normal Pul Vasculature<br /> Pulmonary art stenosis<br /> small Lt to Rt shunt<br />
  10. 10. OTHER STRUCTRES :<br /><ul><li>Location of the liver and gastric fundus
  11. 11. Aorta identification – Rt arch – TOF, Truncusarteriosus</li></ul> “Figure 3” sign – Coarctation of aorta<br /><ul><li> Skeletal – Rib notching(mostly 4 & 8th ribs)- COA >5yrs
  12. 12. Upper Mediastinum – prominent thymus – appears cardiomegaly(Sail sign)</li></ul> Absent Thymus – TGA<br /> other – vessels – TAPVC – snowman sign<br /><ul><li>Pulmonary Parenchyma – see for evidence of infection </li></li></ul><li>THANK YOU<br />
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