Incidental finding of large pneumothorax on Cardiac MR scan

Abstract Background We believe this is the first case report of a pneumothorax being identified using cardiac magnetic resonance imaging. This case also illustrates the haemodynamic effect a large pneumothorax can have on right ventricular filling in diastole. Case presentation A 26-year-old attende...

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Main Authors: J. P. M. Andrews, G. McKillop, M. R. Dweck
Format: Article
Language:English
Published: BMC 2018-02-01
Series:BMC Medical Imaging
Subjects:
CMR
Online Access:http://link.springer.com/article/10.1186/s12880-017-0240-6
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spelling doaj-58bba9ae6fed44cf8c56262ef07fadaf2020-11-24T23:56:45ZengBMCBMC Medical Imaging1471-23422018-02-011811310.1186/s12880-017-0240-6Incidental finding of large pneumothorax on Cardiac MR scanJ. P. M. Andrews0G. McKillop1M. R. Dweck2Centre for Cardiovascular Sciences, Chancellors Building, University of EdinburghDepartment of Radiology, Royal Infirmary of EdinburghCentre for Cardiovascular Sciences, Chancellors Building, University of EdinburghAbstract Background We believe this is the first case report of a pneumothorax being identified using cardiac magnetic resonance imaging. This case also illustrates the haemodynamic effect a large pneumothorax can have on right ventricular filling in diastole. Case presentation A 26-year-old attended for an interval follow up Cardiac Magnetic Resonance (CMR) of his thoracic aorta after a thoracic co-arctation repair aged 3. He was found to have an incidental large pneumothorax by the reporting cardiology fellow which was confirmed by the on-call radiologist. The pneumothorax was most notable for its compression of the right ventricle in diastole. Although the patient had worrying features on CMR imaging, he remained clinically stable and a conservative approach to management saw the pneumothorax resolve after a 3 week period. Conclusions Pneumothoraces are important, potentially life threatening conditions. Although very rarely identified on MR imaging, radiographers and reporting doctors should be aware of their key features. This case serves to identify not only the abnormal lung parenchymal features but also the striking compressional effect of the pneumothorax on the right ventricle in diastole. Indeed we believe this is the first case report of a pneumothorax identified on CMR imaging.http://link.springer.com/article/10.1186/s12880-017-0240-6Cardiac magnetic resonance imagingPneumothoraxCMRThoracic MRIncidental findings
collection DOAJ
language English
format Article
sources DOAJ
author J. P. M. Andrews
G. McKillop
M. R. Dweck
spellingShingle J. P. M. Andrews
G. McKillop
M. R. Dweck
Incidental finding of large pneumothorax on Cardiac MR scan
BMC Medical Imaging
Cardiac magnetic resonance imaging
Pneumothorax
CMR
Thoracic MR
Incidental findings
author_facet J. P. M. Andrews
G. McKillop
M. R. Dweck
author_sort J. P. M. Andrews
title Incidental finding of large pneumothorax on Cardiac MR scan
title_short Incidental finding of large pneumothorax on Cardiac MR scan
title_full Incidental finding of large pneumothorax on Cardiac MR scan
title_fullStr Incidental finding of large pneumothorax on Cardiac MR scan
title_full_unstemmed Incidental finding of large pneumothorax on Cardiac MR scan
title_sort incidental finding of large pneumothorax on cardiac mr scan
publisher BMC
series BMC Medical Imaging
issn 1471-2342
publishDate 2018-02-01
description Abstract Background We believe this is the first case report of a pneumothorax being identified using cardiac magnetic resonance imaging. This case also illustrates the haemodynamic effect a large pneumothorax can have on right ventricular filling in diastole. Case presentation A 26-year-old attended for an interval follow up Cardiac Magnetic Resonance (CMR) of his thoracic aorta after a thoracic co-arctation repair aged 3. He was found to have an incidental large pneumothorax by the reporting cardiology fellow which was confirmed by the on-call radiologist. The pneumothorax was most notable for its compression of the right ventricle in diastole. Although the patient had worrying features on CMR imaging, he remained clinically stable and a conservative approach to management saw the pneumothorax resolve after a 3 week period. Conclusions Pneumothoraces are important, potentially life threatening conditions. Although very rarely identified on MR imaging, radiographers and reporting doctors should be aware of their key features. This case serves to identify not only the abnormal lung parenchymal features but also the striking compressional effect of the pneumothorax on the right ventricle in diastole. Indeed we believe this is the first case report of a pneumothorax identified on CMR imaging.
topic Cardiac magnetic resonance imaging
Pneumothorax
CMR
Thoracic MR
Incidental findings
url http://link.springer.com/article/10.1186/s12880-017-0240-6
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