Cardiomegaly, Congestive Heart Failure, Pulmonary Venous Congestion
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0169-Cardiomegaly, Congestive Heart Failure, Pulmonary Venous Congestion
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CA0169-Cardiomegaly, Congestive Heart Failure, Pulmonary Venous Congestion
Case ReportHistory
Exam
Prior Study
Findings
Technique
AP portable supine chest exam with adequate technique.
Support Devices
There is a right subclavian PICC with the tip at the SVC RA junction.
There is a biventricular AICD in place, and the leads are not fractured or in abnormal position.
There is an IABP present (in diastole) with the tip just below the aortic arch.
There is a prosthetic aortic valve.
Cardiomediastinum
The mediastinum is not abnormally widened considering the technique.
There is enlargement of the cardiac silhouette.
Vasculature
There is haziness of the pulmonary vessels and congestion of the central pulmonary vasculature.
Lungs
There is diffuse interstitial disease from edema.
There is atelectasis and/or airspace disease in the left lower lobe and subsegmental atelectasis in the right lower lobe.
The right hemidiaphragm is minimally obscured and the left hemidiaphragm is diffusely obscured by bibasilar opacities, likely atelectasis.
Pleura
There is mild blunting of the costophrenic angles.
There is minimal fluid in the minor fissure.
There is no pneumothorax.
Bones, Soft Tissues, Upper Abdomen
There are post-surgical changes of median sternotomy for AVR with intact suture wires, and there is previous left shoulder surgery with anchor sutures present.
The upper abdomen is normal.
Impression
The tip of the right upper extremity PICC is at the SVC RA junction.
There is bibasilar atelectasis, greater on the left.
