See also Lung Module of Faces of Dextrocardia
Parts
Size
Shape
Position
Character
Time Associated Findings
Infection
Inflammation
Malignancy
Mechanical
Traumatic Diaphragmatic Hernia Extending to Left and Right Sides of the Thoracic Cavity Resulting in Dextrocardia
54-year-old male with a remote history of blunt trauma presents for pre-op evaluation. CT in the axial projection shows the herniated abdominal contents at the level of the heart. The anteriorly positioned colon is distended with air. Non distended medially positioned small bowel is present and together with peritoneal fat extends across the midline and pushes the heart toward the right.
Findings are consistent with a large traumatic diaphragmatic injury with secondary herniation of abdominal contents into the chest cavity
Ashley Davidoff MD TheCommonVein.net 273Lu 136275.
Atelectasis
Trauma
Metabolic
Circulatory-
Hemorrhage
Immune Infiltrative Idiopathic
Iatrogenic
Acquired Dextrocardia S/P Pneumonectomy
Frontal CXR of a 98-year-old woman showing a left sided white out secondary to a pneumonectomy. The soft tissue structures of the mediastinum have all shifted into the left hemithorax accounting for the white out. The calcified mitral annulus (b, white arrowhead), calcified right coronary artery – RCA (b, maroon arrowhead) and left anterior descending (LAD) – (b, bright red arrowhead) and right ventricle (RV pacemaker lead) confirm the diagnosis of acquired dextrocardia. There is hyperinflation of the right lung which crosses the midline associated with a small right effusion. A significant dextro-thoracic scoliosis with a compensatory levoscoliosis of the lumbar spine is present
Ashley Davidoff MD TheCommonVein.net 269Lu 136234cL