Cardiomediastinum
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0167-Cardiomediastinum
View Images
CA0167-Cardiomediastinum
Case ReportHistory
Exam
Prior Study
Findings
Technique
Good quality supine portable exam.
Support Devices
There is a tracheostomy tube present.
There is a dialysis catheter present at the SVC right atrial junction.
There is a feeding tube in place which goes below the GE junction, but the tip is not included on this exam.
Cardiomediastinum
There is air in the soft tissues of the mediastinum.
Air about the inferior border of the heart is likely from the pneumomediastinum.
The heart is at the upper limits of normal.
Vasculature
The aorta is calcified.
The central pulmonary arteries and hila are not enlarged.
There is no congestion of the central pulmonary vasculature.
Lungs
There is no airspace disease or consolidation.
There is minimal left mid and lower lung subsegmental atelectasis.
There is elevation of the right hemidiaphragm.
Pleura
There is blunting of the right costophrenic angle.
Bones, Soft Tissues, Upper Abdomen
The bones, soft tissues, and upper abdomen are normal.
There is no free air beneath the diaphragm.
Impression
There is no pneumothorax.
There is left mid and lower lung subsegmental atelectasis.
