By M. Chen, T. Pope, D. Ott(eds0
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Because of its inherent risks, coronary arterio-graphy is usually reserved for patients with signs and symptoms of myocardial ischemia or infarction either on the basis of history or results of electrocardiography, echocardiography, or radionuclide myocardial imaging. 32 33 In patients with suspected pulmonary emboli, helical CT is the most appropriate test in the setting of an abnormal chest x-ray (Fig. 3â 14). The ventilation-perfusion (V/Q) scan can be performed if the chest radio-graph is normal.
A CT confirmed the pacemaker lead perforation (Fig. 3â 65). 3-30. The patient in this case (Fig. 3â 64) had hypoplastic left heart syndrome as an infant.
3-5. The most likely diagnosis in Case 3-5 (Figs. 3â 28A and B ) is A. cardiomyopathy. B. pulmonary edema and congestive heart failure. C. pericardial effusion. D. acute pneumonia. E. aortic dissection. Radiologic Findings: 3-1. This case (Fig. 3â 24) represents an apparent "enlarged heart" due to an expiratory phase of respiration in an uncooperative patient. ) Note the decreased lung volumes and the elevation of the hemidiaphragms. The resultant crowding of vessels obscures much of the cardiac border.