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Cardiovascular findings on cross-sectional imaging: spectrum of incidental and critical findings and clinical relevance for the abdominal radiologist.
Abdominal Radiology ( IF 2.4 ) Pub Date : 2019-03-01 , DOI: 10.1007/s00261-019-01922-7
Kevin Kalisz 1 , Michael Enzerra 2 , Kianoush Ansari-Gilani 2
Affiliation  

Although not the primary focus of the exams, cardiovascular structures are included to some extent on all abdominal or whole-body cross-sectional studies. Cardiovascular findings often present incidentally and may range from chronic to acute and emergent pathologies. Among the most common cardiovascular findings are the presence of cardiac calcifications, most commonly coronary, which correlate with the presence of coronary artery and valvular disease. Signs of myocardial ischemia, both acute and chronic, and its complications may also be visualized. Cardiac filling defects most commonly represent thrombus and are associated with systemic arterial embolic complications. Pericardial findings often manifest as effusion or thickening, which may lead to hemodynamic consequences visible at imaging. Incidental pulmonary emboli and systemic venous thrombi may be incidentally detected, particularly in hospitalized and oncologic patients, and warrant immediate attention. This review will highlight the appearance of common and important incidental cardiovascular findings and related pitfalls and discuss reporting and follow-up recommendations relevant to the abdominal radiologist.

中文翻译:

横截面影像学上的心血管检查结果:偶然和重要发现的范围以及对腹部放射科医生的临床意义。

尽管不是考试的重点,但在所有腹部或全身横断面研究中都一定程度上包括了心血管结构。心血管检查结果常常偶然出现,范围可能从慢性到急性和紧急情况。在最常见的心血管检查结果中,有心脏钙化(最常见为冠状动脉),这与冠状动脉和瓣膜疾病的存在有关。心肌缺血的迹象,无论是急性的还是慢性的,其并发症也可以显现出来。心脏充盈缺损最常代表血栓,并伴有全身性动脉栓塞并发症。心包发现常表现为积液或增厚,这可能导致在成像时可见的血流动力学后果。偶然发现偶然的肺栓子和全身静脉血栓,尤其是在住院和肿瘤患者中,应立即引起注意。这篇综述将重点介绍常见和重要的偶然心血管发现和相关缺陷的出现,并讨论与腹部放射科医生有关的报告和后续建议。
更新日期:2019-11-01
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