Mediastinum – ChestDB.com

Case 35

Chronic & ILD, Mediastinum / Age <30, Eisenmenger Syndrome, Pulmonary Hypertension, Shunt

This radiograph shows severely dilated pulmonary arteries. The differential for this finding includes pulmonary hypertension, flow abnormalities from shunting or valvular disease, and connective tissue diseases, among others. This a young patient with Eisenmenger Syndrome, a condition resulting from a longstanding uncorrected left-to-right shunt. The shunt causes pulmonary hypertension, which eventually becomes so severe that the direction of flow through the shunt reverses resulting in significant hypoxemia.

The exam is otherwise normal.

Case 35 Read More »

Case 25

This radiograph demonstrates a large hiatal hernia projecting over the mediastinum. In this case there is air within the gastric lumen which greatly aids in identification. In situations where air is not present within the herniated stomach, it can have the appearance of an abnormal cardiomediastinal silhouette. Review of prior images may assist with identification of a hernia, if available.

The exam is otherwise unremarkable.