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Videos : Chest

 

Type B dissection with compression of true lumen. This study is an excellent example of a dissection involving the descending thoracic aorta where the true lumen is compressed by the false lumen. The patient also has evidence of decreased left ventricular function but has patent coronary arteries. This is shown in a sequence of five different perspectives using different rendering techniques.
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This is a terrific example of azygos continuation of the IVC with duplication of the IVC just above the level of the renal veins and extending down into the iliac vessels. This is the best example of this I have ever seen.
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3D mapping demonstrating endovascular imaging of the airway.

Please note this patient also had coronary artery by-pass surgery. Please note the location of the bypass graft in relationship to the sternum.

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Nice example of encasement of the patient's brachial artery. The patient is a dialysis candidate.
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This study nicely shows the intercostal arteries using change with the lighting tool to accentuate detail within the patient's thoracic cavity.
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Venous-to-venous varix: Volume rendering MIP and Multiplanar reconstructions demonstrates a very unusual case. Notice the vascular abnormality in the region of the right hilum. This was a venous-to-venous varix.
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Chest: This case was done for evaluation of an aortic aneurysm. The study was done on a 64 slice scanner using gated acquisition. This allows us to not only clearly visualize the large aneurysm of the ascending aorta and arch with ulceration, but also to look at the root of the aorta and to visualize the coronary arteries. Please note that there is a series of videos enclosed which include a range of volume rendered images to show the advantage of cardiac gating. Also, some of the images are done with 4 dimensional reconstruction. Once data is acquired with gating, 4 dimensional reconstruction is, indeed, possible.
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Chest: This study is a gated acquisition of a patient with a type A dissection. Note that on the 4D images the importance of the cardiac motion, as well as visualization of the flap is clearly defined. Gating may become the standard for evaluation of the ascending aorta because it allows us to not only see the ascending aorta, which one can visualize fairly well on axial imaging, but also define a stent of the section as it relates to coronary arteries and aortic valve.
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Chest: Detailed mapping of pulmonary vascularity. Note the incredible detail at the lung periphery.
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BAC: 3D mapping demonstrates nicely the fissures of the lung and demonstrates a ground glass lesion in the right superior segment of the right lower lung consistent with a bronchoalveolar cell carcinoma.
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PE: 3D mapping as well as multiplanar reconstruction of a pulmonary angiographic study demonstrating no evidence of pulmonary embolism.
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PE coronal
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PE MIP
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PE VRT

PE: 3D mapping and multiple planes and orientations demonstrates multiple bilateral pulmonary emboli as well as pulmonary infarcts.
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Aortic Stent Graft: 3D imaging of a vascular stent in satisfactory position. CT is very good for looking at stent placement and detecting complications.
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Other Chest Videos
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Sarcoidosis: The study demonstrates air space nodules as well as hilar adenopathy.
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Normal lung vasculature: The study demonstrates air space nodules as well as hilar adenopathy. Normal pulmonary vasculature shown in MIP and VRT mode. Note the extensive cartilage calcification

 


This site is sponsored in part by a grant from Siemens Medical Solutions. Siemens does not monitor or control the content of these materials.