MyPACS.net: Radiology Teaching Files > Case 6272508

never visited 11 DAY OLD WITH COMPLEX HEART DISEASE
Contributed by: Grace Kalish, Resident, University of Washington, Washington, USA.
Patient: 11 day old male
History: complex congenital heart disease with singl atrium and single ventricle.
Images:[small]larger

Fig. 1

Fig. 2
Findings: The bronchial branching pattern is consistent with 2 left lobes. No minor fissures are seen. The trachea is in the midline, and there is a right aortic arch which descends on the right side. The mediastinum is widened, most likely with 2 superior vena cavas. On the lateral projection the inferior vena cava (IVC) is not definitely seen, questioning an interrupted IVC. There is a horizontal liver. There is a small gas collection in the left medial subdiaphragmatic region, which may represent a stomach bubble. 12 ribs are noted.
Discussion: you would expect polysplenia with left-sided isomerism.
Comments:
No comments posted.
Additional Details:

Case Number: 6272508Last Updated: 08-23-2006
Anatomy: Vascular/Lymphatic   Pathology: Congenital
Modality: Conventional RadiographAccess Level: Readable by all users
Keywords: left-sided isomerism

The reader is fully responsible for confirming the accuracy of this content.
Text and images may be copyrighted by the case author or institution.
You can help keep MyPACS tidy: if you notice a case which is not useful (e.g. a test case) or inaccurate, please send email to alert@mypacs.net.