Figure 1 shows the cardiomegaly
at the clinical deterioration, with near complete resolution.
(3) Congenital AVMs usually present with hematuria in up to 72% of cases, while acquired AVMs are more likely to present with hemodynamic changes, such as hypertension, cardiomegaly
and congestive heart failure.
He does not experience seizures, has no signs of cardiovascular disease, and echocardiography has excluded cardiomegaly
. Brain and spine MRIs were ordered to investigate possible neurological sequela of MMA.
, auricular bulge with elevated trachea; left atrial enlargement, pulmonary venous congestion and pleural effusion were the significant radiographic abnormalities (Fig.
Clinical and special investigation features of mitral regurgitation Mitral regurgitation History Heart failure symptoms (dyspnoea, paroxysmal nocturnal dyspnoea, orthopnoea) Leg swelling Physical findings Displaced, volume-loaded apex beat Soft S1 Pan-systolic murmur at apex, radiating to axilla Third heart sound Special investigations ECG Usually unremarkable The presence of abnormal QRS complexes eludes to underlying myocardial pathology rather than primary isolated mitral valve pathology CXR Cardiomegaly
Upper-lobe blood diversion/interstitial oedema Table 3.
A huge cardiomegaly
was seen on chest X-ray (CXR), and the cardiothoracic ratio (CT ratio) was 0.721.
The most common gross lesions were severely congested and hemorrhagic lungs, splenomegaly, and cardiomegaly
. Histologic examination revealed Bollinger inclusion bodies in cutaneous lesions, mild-to-severe bronchopneumonia, moderate periportal lymphocytic hepatitis, splenic lymphopenia and lymphocytolisis.
Chest X-rays showed cardiomegaly
and the electrocardiogram showed right atrial and ventricular hyper trophy.
As seen our patient, cardiac angiosarcoma should be a consideration in the differential diagnosis of any patient with cardiomegaly
associated with hemorrhagic pericardial effusion with tamponade.
Her chest radiograph showed a right pleural effusion with cardiomegaly
Two blood cultures were sterile, a chest radiograph showed cardiomegaly
, and cranial computed tomography without contrast showed moderate cerebral atrophy.
As part of an evaluation in a local ED, a chest radiograph was performed which demonstrated mild cardiomegaly
. He was subsequently transferred to our institution.