CASE
HISTORY / CLINIC:
54-year-old female presenting with tachykardia and dyspnea.
FINDINGS:
Suspicion
of cardiomegaly based
on the fact that the heart-thorax ratio > ½ and the bifurcation
angle > 50°.
"Bocksbeutelform" of the heart with
a very
mild outline of the heart.
The diaphragm is not well defined on both sides. Large homogenous
shadows on both sides which taper off in the supine position.
Prominent apical pulmonary
vascular markings depicting cardiopulmonary congestion.
DIAGNOSIS:
Pericardiac
effusion, large pleural
effusions on both sides and cardiopulmonary
congestion.
Web
resources:
1) Uni Zürich
2) Chorus
3) Medicine worldwide
4) AHC-Consilium