Become a Pro Member for full access to this course and more.

View Plans   Log In
Expand ("E")   Collapse

Age: 0 days (term)

Sex: Female

Indication: Tachypnea

Save ("V")

Case #4


Findings

  • Enteric tube terminates in the distal esophagus
  • Umbilical venous catheter tip overlies the T12-L1 level, near the inferior margin of the left hepatic lobe
  • Umbilical artery catheter tip projects at the level of T8
  • Marked enlargement of the cardiopericardial silhouette with a globular configuration
  • Mild diffuse interstitial pulmonary opacification
  • No pleural effusion of pneumothorax
  • Unremarkable bowel gas pattern


Diagnosis

  • Tricuspid atresia

Sample Report

Enteric tube terminates in the distal esophagus. Recommend advancing 2 cm for placement in the stomach.

Umbilical venous catheter tip overlies the T12-L1 level, near the inferior margin of the left hepatic lobe.

Umbilical artery catheter tip projects at the level of T8.

Marked enlargement of the cardiopericardial silhouette with a globular configuration, which raises concern for a right heart defect such as pulmonic/tricuspid atresia or Ebstein anomaly. Recommend cardiology evaluation.

Mild diffuse interstitial pulmonary opacification, which may relate to edema or retained fetal fluid.

No pleural effusion of pneumothorax.

Unremarkable bowel gas pattern.


Discussion

  • Right heart defects often result in marked right atrial enlargement, which can lead to a box-shaped heart, and decreased pulmonary vascularity



📣 Feedback?

⌨️  Keyboard Shortcuts ("K")

⌨️ Keyboard Shortcuts

View shortcuts

Zoom/Pan

  Full screen

  Window/Level

  Expand/collapse

  Scroll

  Save the case

  Close case/tab

Previous Slice (Scroll)

Next Slice (Scroll)

 Toggle presets

 Previous series (if multiple)

 Next series (if multiple)

  Previous case (⌘ ◄ on a mac)

  Next case (⌘ ► on a mac)