The document discusses diagnostic radiology of the cardiovascular system. It provides details on basic X-ray features of heart conditions and describes common diseases including rheumatic heart disease, ischemic heart disease, congenital heart diseases like atrial septal defect and Tetralogy of Fallot. For specific conditions like mitral stenosis, it outlines the hemodynamics, typical X-ray appearances and key diagnostic features.

1. Diagnostic Radiology of Cardiovascular System Chen, Shaoqiong Acknowledgement : most of the slices are refer to the ppt provided by Dr. Biling Liang is gratefully acknowledged

8. Pericardial effusion Pericardial effusion on both lateral chest radiograph and axial CT. Red arrow points to fat outside of pericardium. Green arrow points to pericardial space which is 8 mm in this patient (<4 mm is normal.) The yellow arrow points to fat outside of heart and the blue arrow to the myocardium.

9. Pericardial effusion

10. Pericardial effusion “ water-bottle” “flask” shape Globular shape methods normal abnormities diseases

11. Pericardial effusion general enlarge bilaterally Widened SVC methods normal abnormities diseases

12. Pericardial effusion /231 erect position supine position methods normal abnormities diseases

15. Constrictive pericarditis /231 methods normal abnormities diseases

16. Pericardial calcification

17. Constrictive pericarditis - RA enlargement

18. Constrictive pericarditis - RA enlargement

19. Constrictive pericarditis - RA enlargement

20. Diagnostic Radiology of Cardiovascular System /231 Imaging methods normal appearances abnormities diseases methods normal abnormities diseases

24. Right Ventricular Hypertrophy Stenotic mitral valve © Frank Netter, MD Novartis®

27. Mitral stenosis hemodynamics /231 Mitral valve stenosis Left atrial output obstructed LV engorge insufficiently LA pressure increase & dilate Pulmonary venous hypertension, interstitial pulmonary edema RV burden increase & enlarge aortic knob shrink LV and aortic knob shrink methods normal abnormities diseases

30. Mitral stenosis LA LV RV LA LV LV LA Valve calcification Lat Cor

31. Mitral stenosis LA LV LA LV LA RV LV RA RV

32. Mitral stenosis LA LV LV LA RV RA

34. Mitral stenosis /231 methods normal abnormities diseases

35. Mitral stenosis LA enlarge ： esophagus compression, diplopia RV enlarge: heart touch the anterior chest wall ＞ 1/3 LA enlargement PA – right border ： double density PA – left border ： left atrial appendage enlargement Lat & RAO ： esophagus compressed methods normal abnormities diseases

37. Mitral stenosis --- Hemosiderin deposited /231 methods normal abnormities diseases

38. Mitral stenosis—pulmonary interstitial edema-- Kerley’s B-line /231 Perpendicular to the chest wall methods normal abnormities diseases

42. Coronary artery CTA MIP With Contrast Medium

43. VRT Recon. Normal Coronary artery CTA

44. 前降支和旋支 前降支和对角支 前降支和旋支 心底部冠脉供血 正常冠脉 MIP 重建

45. 正常冠状动脉 CT ： 119148

47. Ischemic heart disease cardiomegaly methods normal abnormities diseases

48. Multi-slice spiral CT /231 Plain scan Calcification in the coronary A. wall methods normal abnormities diseases

49. Coronary artery CTA Negative prediction 100 ％ positive prediction 80 ～ 88 ％

50. Coronary artery calcification & soft plaque

51. Coronary artery soft plaque

52. Coronary artery stenosis DSA

53. Myocardial infarction /231 Real time : infarcted myocardium non-enhanced Delay enhancement in the infarcted myocardium methods normal abnormities diseases

57. ASD Right atrium open looking into left atrium through ASD Normal © Frank Netter, MD Novartis® fossa ovalis

58. ASD----hemodynamics /231 Left -> right shunt But depend on the P. Vscular resistance RA LA RA flow ↑ RV flow ↑ PBF↑ RA hypertrophy dilatation RV hypertrophy dilatation pulmonary hypertension Right heart failure methods normal abnormities diseases

61. ASD RA RA

62. ASD aorta shrink RA & RV↑ , RA↑ ↑ obviously RA RV PA Aorta svc

63. ASD RA & RV↑ , RA↑ ↑ obviously

64. ASD /231 Enlargement of RA methods normal abnormities diseases RA RV PA Aorta svc

65. ASD /231 methods normal abnormities diseases

66. ASD /231 Preoperative Postoperative methods normal abnormities diseases

67. ASD /231 Pulmonary hypertension methods normal abnormities diseases RA RV PA Aorta svc

68. ASD Prominent pulmonary vessels Prominent MPA Normal left atrium

70. Fallot’s tetralogy /231 methods normal abnormities diseases

71. Tetralogy of Fallot

72. Tetralogy of Fallot

73. Tetralogy of Fallot /231 methods normal abnormities diseases

75. F4 MR:41655