Cardiac Masses and Tumors

Size: px
Start display at page:

Download "Cardiac Masses and Tumors"

Transcription

1 Cardiac Masses and Tumors

2 Question: What is the diagnosis? A. Aortic valve myxoma B. Papillary fibroelastoma C. Vegetation from Infective endocarditis D. Thrombus in transit E. None of the above

3 Answer: What is the diagnosis? B A. Aortic valve myxoma B. Papillary fibroelastoma C. Vegetation from Infective endocarditis D. Thrombus in transit E. None of the above

4 Papillary fibroelastoma An incidental nodular mass (arrow) is seen attached to the commissure between the left and right coronary cusps. The mass has low attenuation, suggesting low vascularity. The appearance and location are typical of a papillary fibroelastoma. Papillary fibroelastomas are benign tumors that are attached to valves, chordae tendineae, papillary muscles, or the left or right ventricular endocardium.

5 Papillary fibroelastoma These tumors have the potential to embolize and are difficult to detect by CT because of their small size and high mobility. Resection is recommended in left sided fibroelastomas because the risk of embolic events may be as high as 25% in patients with previous transient ischemic attack or cerebrovascular accident symptoms and 6% in asymptomatic patients Gilkeson, Am J Roentgenol, 2006

6 Characteristic of common BENIGN primary tumors by CT

7 Characteristic of common BENIGN primary tumors by CT

8 Characteristic of common BENIGN primary tumors by CT

9 Characteristic of common BENIGN primary tumors by CT

10 Characteristic of common BENIGN primary tumors by CT

11 Characteristic of MALIGNANT primary tumors by CT

12 Characteristic of MALIGNANT primary tumors by CT

13 Intramyocardial lipoma The low attenuation value (- 116 HU) is consistent with fat. These tumors are rare and have no age or gender predisposition. Most are incidentally found in the interatrial septum or in the sub endocardium or sub pericardium of the free atrial or ventricular walls. Approximately 25% of these tumors are intramuscular Intramyocardial lipoma (arrow) found in a patient with atypical chest pain undergoing CT coronary angiography.

14 Pericardial Lipoma

15 Cardiac fibroma CT image shows a well-defined calcified center (arrow). A small circumferential effusion also is observed. Images obtained in a two-chamber projection from a patient presenting for evaluation of pleuritic chest pain. The findings are consistent with a fibroma The patient underwent successful resection of the mass. Fibromas are benign tumors that appear more frequently in children and adolescents. They often require resection because of their continuous growth and potential penetration into the pericardium, causing hemorrhagic pericarditis and tamponade.

16 Cardiac myxoma Cardiac myxomas are the most common cardiac tumors. They originate from primitive mesenchymal cells that may differentiate into several cell types, including endothelial and lipidic cells. The tumor is benign but it may cause serious sequelae because of the high rate of embolization Patient referred for evaluation of dyspnea. There is evidence of right ventricle dilatation and hypertrophy, with prominent trabeculations, suggesting pulmonary hypertension. A round mass (arrow) is observed in the right atrium, near the interatrial septum. Surgical pathology was consistent with a myxoma.

17

18

19 Paraganglioma Biopsy was consistent with a paraganglioma. Only a few paragangliomas are intrathoracic, mostly located in the posterior mediastinum. Paragangliomas originate from sympathetic fibers or from ectopic chromaffin cells and may secrete catecholamines. Tissue histology revealed myxomatous tissue and thrombus. Image obtained from a patient presenting for evaluation of dyspnea, palpitations, and dysphagia. A large mass (arrow)with relatively smooth borders is seen in the posterior mediastinum, compressing or involving the posterior left atrial wall and compressing the ostia of the pulmonary veins.

20 Soft tissue sarcoma Biopsy was consistent with poorly differentiated soft tissue sarcoma. Sarcomas derive from mesenchymal cells and may adopt several morphologic types, including angiosarcoma, rhabdomyosarcoma, fibrosarcoma, liposarcoma, malignant fibrous histiocytoma, myxoid sarcoma, chondrosarcoma, or osteosarcoma. Image obtained from a patient presenting for evaluation of progressive dyspnea. There is evidence of multiple masses involving the atria, the interatrial septum, pericardium, and pleura (arrows). The masses have similar attenuation, except for lower attenuation in the inner core of the larger ones, suggesting hypoperfusion/necrosis.

21 Soft tissue sarcoma Biopsy was consistent with poorly differentiated soft tissue sarcoma. Sarcomas tend to exhibit rapid growth and are almost universally fatal unless they are detected when small and are fully resected. Cardiac transplantation is ineffective. It is believed that the use of immunosuppressants accelerates the growth of these tumors Image obtained from a patient presenting for evaluation of progressive dyspnea.

22 Angiosarcoma Histologic diagnosis was consistent with angiosarcoma. This tumor is more frequent in women, originates more commonly in the right atrium and may have intracavitary, polypoid, or diffusely infiltrative appearance. Symptoms vary according to anatomic location. Obstruction of the superior and inferior vena cava and invasion of the pericardium are common. Most are fatal within 4 to 24 months, regardless of treatment. Image obtained from a patient presenting with dyspnea and chest pain. CT demonstrates multiple large masses (arrows) with attenuation similar to that of the left ventricular myocardium, because of the rich vascularity and, therefore, contrast enhancement.

23 Pericardial mesothelioma Biopsy demonstrated a pericardial mesothelioma. Malignant mesotheliomas of the pericardium are very rare and, unlike pleural mesotheliomas, they do not appear to be related to previous asbestos exposure. These tumors are very aggressive and almost always fatal. Axial image obtained from a patient evaluated for dyspnea and chest pain. There are multiple masses (arrows) involving the pericardium, right atrium, right ventricle, and the pleural space.

24 Miscellaneous Cardiac Masses

25 Fibrosing mediastinitis Image obtained from a patient presenting for evaluation of dyspnea. After a right arm injection, there is string-like accumulation of contrast in mediastinal and azygous veins with lack of visualization of the superior vena cava (arrow). The obstruction of the superior vena cava is caused by fibrosing mediastinitis. This condition is an uncommon late immune-mediated complication related to previous infection from histoplasmosis or tuberculosis. Idiopathic mediastinal fibrosis also may occur in association with retroperitoneal fibrosis. The fibrotic changes predominantly involve the upper mediastinum and hilar regions. Symptoms are related to obstruction of the superior vena cava and less frequently the central pulmonary arteries and veins.

26 Fibrosing mediastinitis The obstruction of the superior vena cava is caused by fibrosing mediastinitis. Coronal maximum-intensity projection image obtained from panel A showing contrast opacification in the right subclavian, neck collaterals, and azygous veins (arrow). The superior vena cava is not opacified.

27 Hepatic cyst There is external compression of the right atrium and right ventricle by a giant hepatic cyst (arrows). External compression of the heart by intraabdominal or intrathoracic structures may resemble the signs and symptoms of constrictive pericardial disease.. Axial image obtained from a patient presenting with ascites and edema.

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46 Question: What is the diagnosis? A. Aortic valve myxoma B. Papillary fibroelastoma C. Vegetation from Infective endocarditis D. Thrombus in transit E. None of the above

Pericardial disease. Usually secondary to systemic or other cardiac diseases. Pericardial fluid accumulations Pericarditis

Pericardial disease. Usually secondary to systemic or other cardiac diseases. Pericardial fluid accumulations Pericarditis Pericardial disease Usually secondary to systemic or other cardiac diseases Pericardial fluid accumulations Pericarditis Pericardial Anatomy Two major components visceral pericardium mesothelial monolayer

More information

Circulatory System. Obj: Explain the structure of the heart

Circulatory System. Obj: Explain the structure of the heart Circulatory System Obj: Explain the structure of the heart 1 Structure of the Heart Size, shape and location 1. Size of a closed fist 2. In thoracic cavity 3. Apex: the tip of the heart that lies on the

More information

Primary -Benign - Malignant Secondary

Primary -Benign - Malignant Secondary TUMOURS OF THE LUNG Primary -Benign - Malignant Secondary The incidence of lung cancer has been increasing almost logarithmically and is now reaching epidemic levels. The overall cure rate is very low

More information

Distance Learning Program Anatomy of the Human Heart/Pig Heart Dissection Middle School/ High School

Distance Learning Program Anatomy of the Human Heart/Pig Heart Dissection Middle School/ High School Distance Learning Program Anatomy of the Human Heart/Pig Heart Dissection Middle School/ High School This guide is for middle and high school students participating in AIMS Anatomy of the Human Heart and

More information

The Circulatory System

The Circulatory System The Circulatory System Terminology Angina Pectoris: Severe suffocation chest pain caused by brief lack of oxygen supply to the head muscle. Aorta: Major systemic artery; arises from the left ventricle

More information

Objectives. Cardiovascular System: The Heart HEART COVERINGS & WALLS PHYSICAL CHARACTERISTICS OF THE HEART. Chapter 11 p

Objectives. Cardiovascular System: The Heart HEART COVERINGS & WALLS PHYSICAL CHARACTERISTICS OF THE HEART. Chapter 11 p Objectives Cardiovascular System: The Heart Chapter 11 p. 314-325 1. Identify the major anatomical areas of the heart on a model or diagram 2. Trace the pathway of blood through the heart 3. Compare the

More information

Anatomy of the Cardiovascular System 11/7/12. Betty Smoot, PT, DPTSc

Anatomy of the Cardiovascular System 11/7/12. Betty Smoot, PT, DPTSc Anatomy of the Cardiovascular System 11/7/12 Betty Smoot, PT, DPTSc BIOGPHY: Betty Smoot, PT, DPTSc is Assistant Professor in the Department of Physical Therapy and Rehabilitation Science and in the Department

More information

Cardiovascular System

Cardiovascular System Cardiovascular System Revision Worksheets - 1-1 The Heart Label this heart using the words provided 1. inferior vena cava 14. right ventricle 8. bicuspid valve (mitral) 5. tricuspid valve 7. septum 11.

More information

Practical class 3 THE HEART

Practical class 3 THE HEART Practical class 3 THE HEART OBJECTIVES By the time you have completed this assignment and any necessary further reading or study you should be able to:- 1. Describe the fibrous pericardium and serous pericardium,

More information

Cardiovascular diseases. pathology

Cardiovascular diseases. pathology Cardiovascular diseases pathology Atherosclerosis Vascular diseases A disease that results in arterial wall thickens as a result of build- up of fatty materials such cholesterol, resulting in acute and

More information

CT is great for detail and motion suppression, but lacks in tissue differentiation. MRI is just the opposite.

CT is great for detail and motion suppression, but lacks in tissue differentiation. MRI is just the opposite. RADT 4643 Compare and contrast the advantages and disadvantages of MRI imaging of the chest for diagnostic purposes. Advantages- Tissue contrast and ability to differentiate structures and pathology. Disadvantages-

More information

Exchange solutes and water with cells of the body

Exchange solutes and water with cells of the body Chapter 8 Heart and Blood Vessels Three Types of Blood Vessels Transport Blood Arteries Carry blood away from the heart Transport blood under high pressure Capillaries Exchange solutes and water with cells

More information

BIOLOGY 165 CARDIOVASCULAR/CIRCULATORY SYSTEM LAB MANUAL

BIOLOGY 165 CARDIOVASCULAR/CIRCULATORY SYSTEM LAB MANUAL BIOLOGY 165 CARDIOVASCULAR/CIRCULATORY SYSTEM LAB MANUAL NOTE: You may be asked to identify any structure, cell, tissue, or organ labeled in the figures/pictures within this lab manual. In addition, you

More information

CARDIOVASCULAR SYSTEM

CARDIOVASCULAR SYSTEM CARDIOVASCULAR SYSTEM CARDIOVASCULAR SYSTEM Close your hand into a fist look at it! Your fist is +/- the same size as your heart, around 12 cm long, 9cm wide & 6 cm thick It is located behind the sternum

More information

Bovine heart LSA, Case #94.37374

Bovine heart LSA, Case #94.37374 1. Bovine heart LSA, Case #94.37374 Page - 1 2. Bovine heart LSA Page - 2 3. Bovine heart malignant lymphoma Page - 3 4. Bovine heart LSA, Case #85.0616 Page - 4 5. Canine heart and pericardium mesothelioma,

More information

Cardiovascular System: the heart and the vessels

Cardiovascular System: the heart and the vessels Cardiovascular System: the heart and the vessels Mar 25 3:05 PM heart parts: apex: bottom, pointed region of the heart; points to the left hip base: top, broad region of the heart; points to the right

More information

Fibrous Tumor of the Pleura. Milena Petranovic, HMS IV Gillian Lieberman, MD June 17, 2008

Fibrous Tumor of the Pleura. Milena Petranovic, HMS IV Gillian Lieberman, MD June 17, 2008 Fibrous Tumor of the Pleura Milena Petranovic, HMS IV Gillian Lieberman, MD June 17, 2008 Our Patient: 39-year old asymptomatic female Mass on Chest X-ray PA BIDMC, PACS Lateral BIDMC, PACS Well-circumscribed,

More information

Adult Cardiac Surgery ICD9 to ICD10 Crosswalks

Adult Cardiac Surgery ICD9 to ICD10 Crosswalks 164.1 Malignant neoplasm of heart C38.0 Malignant neoplasm of heart 164.1 Malignant neoplasm of heart C45.2 Mesothelioma of pericardium 198.89 Secondary malignant neoplasm of other specified sites C79.89

More information

Chapter 16. Human Circulatory System

Chapter 16. Human Circulatory System Chapter 16 Human Circulatory System Transport Involves the absorption and circulation of materials throughout an organism Human Circulatory System Closed circulatory system- blood is always in blood vessels.

More information

1. Of the following, which is NOT involved in pulmonary circulation? a. Coronary Artery c. Right Ventricle b. Left Atrium d.

1. Of the following, which is NOT involved in pulmonary circulation? a. Coronary Artery c. Right Ventricle b. Left Atrium d. 1. Of the following, which is NOT involved in pulmonary circulation? a. Coronary Artery c. Right Ventricle b. Left Atrium d. Pulmonary Vein a. CORONARY ARTERY 2. The heart of a human contains chamber(s).

More information

Heart and Vascular System Practice Questions

Heart and Vascular System Practice Questions Heart and Vascular System Practice Questions Student: 1. The pulmonary veins are unusual as veins because they are transporting. A. oxygenated blood B. de-oxygenated blood C. high fat blood D. nutrient-rich

More information

The Human Heart. Terms

The Human Heart. Terms The Human Heart Terms Aorta: The largest artery in the body and the primary blood vessel which carries oxygenated blood out of the heart to the rest of the body. Left ventricle: The lower left- hand chamber

More information

INFLAMMATORY PLEURAL EFFUSION

INFLAMMATORY PLEURAL EFFUSION PLEURA- LESIONS LESIONS OF PLEURA Primary Intra pleural bacterial infections Neoplasm (mesothelioma) Secondary A complication of some underlying disease PLEURAL EFFUSION Common manifestation of both primary

More information

Chapter 9. The Cardiovascular System

Chapter 9. The Cardiovascular System Chapter 9 The Cardiovascular System Objectives Describe the anatomy of the heart and vascular systems. State the key characteristics of cardiac tissue. Calculate systemic vascular resistance given mean

More information

Objectives. Mylene T. Truong, MD. Malignant Pleural Mesothelioma Background

Objectives. Mylene T. Truong, MD. Malignant Pleural Mesothelioma Background Imaging of Pleural Tumors Mylene T. Truong, MD Imaging of Pleural Tumours Mylene T. Truong, M. D. University of Texas M.D. Anderson Cancer Center, Houston, TX Objectives To review tumors involving the

More information

Provincial Exam Questions. 27. Which of the following engulf foreign substances in the blood?

Provincial Exam Questions. 27. Which of the following engulf foreign substances in the blood? Provincial Exam Questions Unit: Human Anatomy, Circulatory (C3,4,5,6,&7) 2010 Jan 26. The vessel shown above is A. a vein. B. a venule. C. an artery. D. a capillary. 27. Which of the following engulf foreign

More information

UNIVERSITA' DEGLI STUDI DI ROMA TOR VERGATA

UNIVERSITA' DEGLI STUDI DI ROMA TOR VERGATA SYSTEMATIC PATHOLOGY I IIIYear Scientific Field DISCIPLINE TUTOR Systematic Pathology I MED/21 MED/10 Thoracic Surgery Respiratory Diseases Tommaso Claudio Mineo Paola Rogliani MED/10 Respiratory Diseases

More information

بسم هللا الرحمن الرحيم

بسم هللا الرحمن الرحيم بسم هللا الرحمن الرحيم Updates in Mesothelioma By Samieh Amer, MD Professor of Cardiothoracic Surgery Faculty of Medicine, Cairo University History Wagner and his colleagues (1960) 33 cases of mesothelioma

More information

CASE OF THE MONTH AUGUST-2015 DR. GURUDUTT GUPTA HEAD HISTOPATHOLOGY

CASE OF THE MONTH AUGUST-2015 DR. GURUDUTT GUPTA HEAD HISTOPATHOLOGY CASE OF THE MONTH AUGUST-2015 DR. GURUDUTT GUPTA HEAD HISTOPATHOLOGY CASE HISTORY 52Y MALE RIGHT RADICAL NEPHERECTOMY Case of right renal mass with IVC thrombus. History of surgery and RT for right occipital

More information

Pericardium. Pericardial Diseases. Function of Pericardium 10/1/2012

Pericardium. Pericardial Diseases. Function of Pericardium 10/1/2012 NO LASIX, PLEASE! PERICARDIAL DISEASE IN THE DOG Pericardium Michael Luethy, DVM Diplomate ACVIM Cardiology September 13 th, 2012 Tough, outer, parietal pericardium Delicate, serous, visceral pericardium

More information

Atlas of Chest Imaging

Atlas of Chest Imaging CHAPTER e34 Atlas of Chest Imaging Patricia Kritek John J. Reilly, Jr. This atlas of chest imaging is a collection of interesting chest radiographs and computed tomograms of the chest. The readings of

More information

Morgagni Hernia Published on Diagnostic Imaging (http://www.diagnosticimaging.com)

Morgagni Hernia Published on Diagnostic Imaging (http://www.diagnosticimaging.com) Case Studies [1] August 28, 2012 By Harpreet Singh, MD [2] An 82-year-old female patient with a history of chest pain, right side, and dyspnea for three months. Clinical history: An 82-year-old female

More information

Heart Activities. Purpose: Materials Needed: Guidelines: Labs Demos Reviews

Heart Activities. Purpose: Materials Needed: Guidelines: Labs Demos Reviews Heart Activities Anatomy Core Standard(s) Diagrams Labs Demos Reviews Classroom Application Purpose: Heart Activities contains three great lessons to help the student remember the movement of the blood

More information

CARDIOVASCULAR SYSTEM THE HEART CIRCULATION

CARDIOVASCULAR SYSTEM THE HEART CIRCULATION CARDIOVASCULAR SYSTEM THE HEART CIRCULATION The heart is a reddish brown, hollow muscular organ about the size of one s fist. It is conical in structure the upper side is broad and is called base while

More information

Plueral Malignancy: Radiologic-pathologic

Plueral Malignancy: Radiologic-pathologic Plueral Malignancy: Radiologic-pathologic Correlation Ritu R. Gill, MD Pleural Malignancies: Radiologic-Pathologic Correlation Ritu R Gill MD Brigham and Women s Hospital Boston, Massachusetts Pleural

More information

Sternotomy and removal of the tumor

Sternotomy and removal of the tumor Sternotomy and removal of the tumor All thymomas originate from epithelial thymic cells 4% of them consist of a pure population of epithelial cells Most have mixed populations of lymphoid cells to a

More information

Cardiac MR Imaging: from Physics to Protocols Case Examples. Disclosures

Cardiac MR Imaging: from Physics to Protocols Case Examples. Disclosures Cardiac MR Imaging: from Physics to Protocols Case Examples David A. Bluemke, M.D., Ph.D. Professor of Radiology and Medicine Clinical Director, MRI Johns Hopkins University School of Medicine Baltimore,

More information

Biology 2402 A&P Exam 3 Cardiovascular System - Heart Ch. 13

Biology 2402 A&P Exam 3 Cardiovascular System - Heart Ch. 13 Biology 2402 A&P Exam 3 Cardiovascular System - Heart Ch. 13 The cardiovascular system is composed of a pump (heart) and a series of tubes (blood vessels) that carry the blood and materials throughout

More information

HYPERTENSIVE HEART DISEASE

HYPERTENSIVE HEART DISEASE HYPERTENSIVE HEART DISEASE Hypertensive heart disease (HHD) stems from the increased demands placed on the heart by hypertension pressure overload + ventricular hypertrophy Most commonly seen in the left

More information

FVMA 2015: Diagnosis and Management of Pericardial Disease PERICARDIAL EFFUSION Pathophysiology of Cardiac Tamponade

FVMA 2015: Diagnosis and Management of Pericardial Disease PERICARDIAL EFFUSION Pathophysiology of Cardiac Tamponade FVMA 2015: Diagnosis and Management of Pericardial Disease Jonathan A. Abbott, DVM, Dipl. ACVIM (Cardiology) VA-MD College of Veterinary Medicine Virginia Tech, Blacksburg, Virginia Pericardial disease

More information

Soft Tissue Sarcomas: Questions and Answers

Soft Tissue Sarcomas: Questions and Answers CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Soft Tissue Sarcomas:

More information

Diseases. Inflammations Non-inflammatory pleural effusions Pneumothorax Tumours

Diseases. Inflammations Non-inflammatory pleural effusions Pneumothorax Tumours Pleura Visceral pleura covers lungs and extends into fissures Parietal pleura limits mediastinum and covers dome of diaphragm and inner aspect of chest wall. Two layers between them (pleural cavity) contains

More information

RACE I Rapid Assessment by Cardiac Echo. Intensive Care Training Program Radboud University Medical Centre NIjmegen

RACE I Rapid Assessment by Cardiac Echo. Intensive Care Training Program Radboud University Medical Centre NIjmegen RACE I Rapid Assessment by Cardiac Echo Intensive Care Training Program Radboud University Medical Centre NIjmegen RACE Goal-directed study with specific questions Excludes Doppler ultrasound Perform 50

More information

Administrative. Patient name Date compare with previous Position markers R-L, upright, supine Technical quality

Administrative. Patient name Date compare with previous Position markers R-L, upright, supine Technical quality CHEST X-RAY Administrative Patient name Date compare with previous Position markers R-L, upright, supine Technical quality AP or PA ( with x-ray beam entering from back of patient, taken at 6 feet) Good

More information

Chapter 20: The Cardiovascular System: The Heart

Chapter 20: The Cardiovascular System: The Heart Chapter 20: The Cardiovascular System: The Heart Chapter Objectives ANATOMY OF THE HEART 1. Describe the location and orientation of the heart within the thorax and mediastinal cavity. 2. Describe the

More information

LAB 12: CIRCULATORY SYSTEM

LAB 12: CIRCULATORY SYSTEM ZOO 4377L - VERTEBRATE MORPHOLOGY LAB LAB 12: CIRCULATORY SYSTEM Name: Name: SSN: SSN: ---------------------------------------------------------------------------------------------------------------------

More information

Chapter 14 Heart: Cardiovascular Physiology

Chapter 14 Heart: Cardiovascular Physiology Chapter 14 Heart: Cardiovascular Physiology Exam 3 will be on Monday November 21 Will cover chapters 11, 12, 13, 14 May cover more, depends on how far we get Heart: Cardiovascular Physiology Cardiovascular

More information

Heart Disorders Glossary

Heart Disorders Glossary Heart Disorders Glossary ABG (Arterial Blood Gas) Test: A test that measures how much oxygen and carbon dioxide are in the blood. Anemia: A condition in which there are low levels of red blood cells in

More information

Anatomy of left ventricular outflow tract'

Anatomy of left ventricular outflow tract' British Heart Journal, 1979, 41, 263-267 Anatomy of left ventricular outflow tract' ROBERT WALMSLEY From the Department of Anatomy and Experimental Pathology, The University, St Andrews, Scotland SUMMARY

More information

IgG4-RELATED LUNG DISEASE. Erik Baltaxe Institute of Pulmonary Diseases Chaim Sheba Medical Center

IgG4-RELATED LUNG DISEASE. Erik Baltaxe Institute of Pulmonary Diseases Chaim Sheba Medical Center IgG4-RELATED LUNG DISEASE Erik Baltaxe Institute of Pulmonary Diseases Chaim Sheba Medical Center Case Presentations Case Age / Sex Initial Presentation Associated Conditions 1 44 / F Cough, shortness

More information

All About the Heart. Structures of the Heart

All About the Heart. Structures of the Heart All About the Heart Your heart is a muscle. It is slightly larger than your fist and weighs less than a pound. It is located to the left of the middle of your chest. Your heart pumps blood to the lungs

More information

Introduction: Tumor Swelling / new growth / mass. Two types of growth disorders: Non-Neoplastic. Secondary / adaptation due to other cause.

Introduction: Tumor Swelling / new growth / mass. Two types of growth disorders: Non-Neoplastic. Secondary / adaptation due to other cause. Disorders of Growth Introduction: Tumor Swelling / new growth / mass Two types of growth disorders: Non-Neoplastic Secondary / adaptation due to other cause. Neoplastic. Primary growth abnormality. Non-Neoplastic

More information

Chapter 14 The Cardiovascular System: The Heart. Heart Location

Chapter 14 The Cardiovascular System: The Heart. Heart Location Chapter 14 The Cardiovascular System: The Heart Heart pumps over 2.6 million gallons per year Over 60,000 miles of blood vessels 13-1 Heart Location Anterior surface of heart Heart is located in the mediastinum

More information

Neoplasms of the LUNG and PLEURA

Neoplasms of the LUNG and PLEURA Neoplasms of the LUNG and PLEURA 2015-2016 FCDS Educational Webcast Series Steven Peace, BS, CTR September 19, 2015 2015 Focus o Anatomy o SSS 2000 o MPH Rules o AJCC TNM 1 Case 1 Case Vignette HISTORY:

More information

Human Anatomy & Physiology II with Dr. Hubley

Human Anatomy & Physiology II with Dr. Hubley Human Anatomy & Physiology II with Dr. Hubley Exam #1 Name: Instructions This exam consists of 40 multiple-choice questions. Each multiple-choice question answered correctly is worth one point, and the

More information

Chest Radiography Interpretation: Reading Chest Films

Chest Radiography Interpretation: Reading Chest Films Chest Radiography Interpretation: Reading Chest Films Lisa Chen, M.D. Assistant Clinical Professor Pulmonary and Critical Care Division Department of Medicine San Francisco General Hospital Michael Gotway,

More information

Chapter 13 - Cardiovascular System

Chapter 13 - Cardiovascular System Chapter 13 - Cardiovascular System 13.1 Introduction (p. 344; Fig. 13.1) A. A functional cardiovascular system is vital for supplying oxygen and nutrients to tissues and removing wastes from them. 13.2

More information

INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project

INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project Data Forms and Fields in CRAB Electronic Data Capture System - Reduced Set - Pivotal data elements for developing

More information

Experiences of using a single post-contrast CT scan of the chest after biphasic contrast injection

Experiences of using a single post-contrast CT scan of the chest after biphasic contrast injection Experiences of using a single post-contrast CT scan of the chest after biphasic contrast injection P C Pretorius, FCRad (Diag) SA Drs Visser, Erasmus, Vawda & Partners, Port Elizabeth Corresponding author:

More information

STRUCTURE OF HUMAN HEART - EXTERNAL FEATURES

STRUCTURE OF HUMAN HEART - EXTERNAL FEATURES STRUCTURE OF HUMAN HEART - EXTERNAL FEATURES CONCEPTS: The heart is a hallow organ. It is situated slightly towards left side in the middle of the thorasic (chest) cavity. It is made up of CARDIAC MUSCLE

More information

Hole s Essentials of Human Anatomy & Physiology

Hole s Essentials of Human Anatomy & Physiology Hole s Essentials of Human Anatomy & Physiology David Shier Jackie Butler Ricki Lewis Created by Dr. Melissa Eisenhauer Head Athletic Trainer/Assistant Professor Trevecca Nazarene University Amended by

More information

DISEASES OF THE CIRCULATORY SYSTEM

DISEASES OF THE CIRCULATORY SYSTEM DISEASES OF THE CIRCULATORY SYSTEM ACUTE RHEUMATIC FEVER (390 392.9) 390 RHEUMATIC FEVER WITHOUT MENTION OF HEART INVOLVEMENT 391 RHEUMATIC FEVER WITH HEART INVOLVEMENT 391.0 ACUTE RHEUMATIC PERICARDITIS

More information

HOW TO READ A CHEST X-RAY

HOW TO READ A CHEST X-RAY The Radiology of TB Michael Lauzardo, MD MSc Director, Southeastern National Tuberculosis Center Chief, Infectious Diseases and Global Medicine University of Florida Objectives How to read a Chest X-Ray

More information

Imaging Diagnosis and Staging of Lung Cancer By Mamdouh Mahfouz MD Radio diagnosis Cairo University

Imaging Diagnosis and Staging of Lung Cancer By Mamdouh Mahfouz MD Radio diagnosis Cairo University Imaging Diagnosis and Staging of Lung Cancer By Mamdouh Mahfouz MD Radio diagnosis Cairo University mamdouh.m5@gmail.com www.ssregypt.com Lung Cancer The most common cause of deaths worldwide Cigarette

More information

Biol 111 Comparative & Human Anatomy Lab 9: Circulatory System of the Cat Spring 2014

Biol 111 Comparative & Human Anatomy Lab 9: Circulatory System of the Cat Spring 2014 Biol 111 Comparative & Human Anatomy Lab 9: Circulatory System of the Cat Spring 2014 Philip J. Bergmann Lab Objectives 1. To learn how blood flows through a dual circuit circulation with lungs. 2. To

More information

1/30/2014. MRA Verses CTA In Detecting Vascular Abnormalities BONNIE VAN MAANEN RT(CT) (BS) (MBAHC) MRA/CTA Objectives. A True Cat Scan MRA VS CTA

1/30/2014. MRA Verses CTA In Detecting Vascular Abnormalities BONNIE VAN MAANEN RT(CT) (BS) (MBAHC) MRA/CTA Objectives. A True Cat Scan MRA VS CTA MRA Verses CTA In Detecting Vascular Abnormalities A True Cat Scan BONNIE VAN MAANEN RT(CT) (BS) (MBAHC) MRI SCANNER MRA VS CTA CT SCANNER MRA/CTA Objectives * The objectives in this presentation is to

More information

Pleural and Chest Wall Tumors

Pleural and Chest Wall Tumors Pleural and Chest Wall Tumors Ritu Gill, MD, MPH Dr. Ritu R. Gill Department t of Radiology Brigham and Women s Hospital Harvard Medical School CLASSIFICATION OF CHEST WALL TUMORS Primary neoplasm of chest

More information

Male. Female. Death rates from lung cancer in USA

Male. Female. Death rates from lung cancer in USA Male Female Death rates from lung cancer in USA Smoking represents an interesting combination of an entrenched industry and a clearly drug-induced cancer Tobacco Use in the US, 1900-2000 5000 100 Per Capita

More information

Francine Lortie-Monette, MD, MSc, CSPQ, MBA Department of Epidemiology and Biostatistics University of Western Ontario 2003

Francine Lortie-Monette, MD, MSc, CSPQ, MBA Department of Epidemiology and Biostatistics University of Western Ontario 2003 ASBESTOS Francine Lortie-Monette, MD, MSc, CSPQ, MBA Department of Epidemiology and Biostatistics University of Western Ontario 2003 Asbestosis Asbestosis is a model for other dust diseases as well as

More information

Cardiovascular System. By Meghan Hillis, Gretchen Stolte, Kathleen Burks Period 5

Cardiovascular System. By Meghan Hillis, Gretchen Stolte, Kathleen Burks Period 5 Cardiovascular System By Meghan Hillis, Gretchen Stolte, Kathleen Burks Period 5 FUNctions Heart: Pumps and delivers blood through the body Blood: Delivers nutrients and oxygen to the body Carries waste

More information

Cardiology. Anatomy and Physiology of the Heart.

Cardiology. Anatomy and Physiology of the Heart. Cardiology Self Learning Package Module 1: Anatomy and Physiology of the Heart. Module 1: Anatomy and Physiology of the Heart Page 1 CONTENT Introduction Page 3 How to use the ECG Self Learning package.page

More information

Potential Causes of Sudden Cardiac Arrest in Children

Potential Causes of Sudden Cardiac Arrest in Children Potential Causes of Sudden Cardiac Arrest in Children Project S.A.V.E. When sudden death occurs in children, adolescents and younger adults, heart abnormalities are likely causes. These conditions are

More information

The Radiology of Tuberculosis

The Radiology of Tuberculosis The Radiology of Tuberculosis David Ashkin, M.D., F.C.C.P. Medical Director, Southeastern National Tuberculosis Center Medical Director, Florida Bureau of TB and Refugee Health Clinical Assistant Professor,

More information

Diagnosis Code Crosswalk : ICD-9-CM to ICD-10-CM Cardiac Rhythm and Heart Failure Diagnoses

Diagnosis Code Crosswalk : ICD-9-CM to ICD-10-CM Cardiac Rhythm and Heart Failure Diagnoses Diagnosis Code Crosswalk : to 402.01 Hypertensive heart disease, malignant, with heart failure 402.11 Hypertensive heart disease, benign, with heart failure 402.91 Hypertensive heart disease, unspecified,

More information

Chapter 2 Cardiac Interpretation of Pediatric Chest X-Ray

Chapter 2 Cardiac Interpretation of Pediatric Chest X-Ray Chapter 2 Cardiac Interpretation of Pediatric Chest X-Ray Ra-id Abdulla and Douglas M. Luxenberg Key Facts The cardiac silhouette occupies 50 55% of the chest width on an anterior posterior chest X-ray

More information

CRITERIA FOR EVENTS (SEQUENCE OF EVENTS FILE SOE )

CRITERIA FOR EVENTS (SEQUENCE OF EVENTS FILE SOE ) THE FRAMINGHAM STUDY CRITERIA FOR EVENTS (SEQUENCE OF EVENTS FILE SOE ) 1. Cardiovascular Disease Cardiovascular disease is considered to have developed if there was a definite manifestation of coronary

More information

CARDIO-VASCULAR SYSTEM MODULE. Academic Year 2004-2005 Study Guide

CARDIO-VASCULAR SYSTEM MODULE. Academic Year 2004-2005 Study Guide CARDIO-VASCULAR SYSTEM MODULE Academic Year 2004-2005 Study Guide CVS Objectives At the end of this part of the course the student should be able to recognize: 1. The histology and ultra-structure of the

More information

Renal Cancer: Symptoms, diagnosis, pathology & prognosis

Renal Cancer: Symptoms, diagnosis, pathology & prognosis Renal Cancer: Symptoms, diagnosis, pathology & prognosis Mark Johnson Consultant Urological Surgeon Newcastle upon Tyne Hospitals NHS Foundation Trust Plan for today: How renal tumours present What investigations

More information

Magnetic Resonance (Eg, Proton) Imaging, Temporomandibular Joint(S) MRI

Magnetic Resonance (Eg, Proton) Imaging, Temporomandibular Joint(S) MRI High Tech Radiology and s (Sorted by s) # Full Description 1 70336 Magnetic Resonance (Eg, Proton) Imaging, Temporomandibular Joint(S) 2 70450 Computed Tomography, Head Or Brain; Without Contrast Material

More information

October 2012 Pulmonary Case of the Month: Hemoptysis from an Uncommon Cause. Lewis J. Wesselius, MD

October 2012 Pulmonary Case of the Month: Hemoptysis from an Uncommon Cause. Lewis J. Wesselius, MD October 2012 Pulmonary Case of the Month: Hemoptysis from an Uncommon Cause Lewis J. Wesselius, MD Department of Pulmonary Medicine Mayo Clinic Arizona Scottsdale, AZ History of Present Illness A 39 year

More information

Primary Parapharyngeal Tumors

Primary Parapharyngeal Tumors Primary Parapharyngeal Tumors Jing Shen, M.D. Faculty Advisor: Shawn Newlands, M.D., Ph.D University of Texas Medical Branch Department of Otolaryngology Grand Rounds Presentation March 22, 2006 Primary

More information

Abdominal Vascular. Anatomy. (Effective February 2007) Abdominal Vascular (7%-15%) Blood Circulation Pulmonary Systemic Portal Capillaries

Abdominal Vascular. Anatomy. (Effective February 2007) Abdominal Vascular (7%-15%) Blood Circulation Pulmonary Systemic Portal Capillaries Abdominal Vascular (Effective February 2007) Abdominal Vascular (7%-15%) Anatomy Blood Circulation Pulmonary Systemic Portal Capillaries One cell thick Connect arterioles and veins Arteries carry oxygenated

More information

Cardiovascular Disease

Cardiovascular Disease Cardiovascular Disease Certification Examination Blueprints Blueprint for the Full Day, Multiple Choice Questions Component of the Exam: Purpose of the exam The exam is designed to evaluate the knowledge,

More information

Done by : Bashayer Almalki & Ahmed Al-Marzoqi Revised by : Nour Al-Khawajah & Mohammed Asiri

Done by : Bashayer Almalki & Ahmed Al-Marzoqi Revised by : Nour Al-Khawajah & Mohammed Asiri ENDOCRINE BLOCK PHYSIOLOGY TEAM 431 Done by : Bashayer Almalki & Ahmed Al-Marzoqi Revised by : Nour Al-Khawajah & Mohammed Asiri Physiology of Adrenal Medulla The adrenal medulla is a modified sympathetic

More information

THE FETAL CIRCULATION

THE FETAL CIRCULATION FETAL CIRCULATION I. FETAL CIRCULATORY ANATOMY AND REMNANTS AFTER BIRTH (Fig. 29.20a, b [29.21a,b) These can be seen on the fetal pig and on the illustrations. The foramen ovale is seen on the illustration

More information

Mesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1

Mesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1 Mesothelioma Introduction Mesothelioma is a type of cancer. It starts in the tissue that lines your lungs, stomach, heart, and other organs. This tissue is called mesothelium. Most people who get this

More information

Detailed Order Request Checklists for Chest (Thoracic) Exams

Detailed Order Request Checklists for Chest (Thoracic) Exams Next Generation Solutions Detailed Order Request Checklists for Chest (Thoracic) Exams 8600 West Bryn Mawr Avenue South Tower Suite 800 Chicago, IL 60631 www.aimspecialtyhealth.com Appropriate.Safe.Affordable

More information

Laboratory 16a Blood Vessels and Peripheral Circulation

Laboratory 16a Blood Vessels and Peripheral Circulation Laboratory 16a Blood Vessels and Peripheral Circulation Objectives: Describe differences between arteries and veins, both at a gross anatomical level and at a histological level. Identify the major arteries

More information

Bone and soft tissue tumours of the foot: review of 83 cases

Bone and soft tissue tumours of the foot: review of 83 cases Journal of Orthopaedic Surgery 2002: 10(2): 173 178 Bone and soft tissue tumours of the foot: review of 83 cases G Kinoshita, M Matsumoto, T Maruoka, T Shiraki, K Tsunemi Department of Orthopedic Surgery,

More information

Diagnostic Slide Session Case Jennifer Ziskin MD, PhD, and Edward D Plowey MD, PhD Stanford University, Stanford, CA

Diagnostic Slide Session Case Jennifer Ziskin MD, PhD, and Edward D Plowey MD, PhD Stanford University, Stanford, CA Diagnostic Slide Session Case 2015-2 Jennifer Ziskin MD, PhD, and Edward D Plowey MD, PhD Stanford University, Stanford, CA Clinical History: 18 year old woman with right facial pain and hyperalgesia Past

More information

April 2015 CALGARY ZONE CLINICAL REFERENCE PULMONARY CENTRAL ACCESS & TRIAGE

April 2015 CALGARY ZONE CLINICAL REFERENCE PULMONARY CENTRAL ACCESS & TRIAGE April 2015 CALGARY ZONE CLINICAL REFERENCE CENTRAL ACCESS & TRIAGE Introduction Pulmonary consulting services are organized through the Calgary Zone Pulmonary Central Access and Triage (PCAT). Working

More information

Note: The left and right sides of the heart must pump exactly the same volume of blood when averaged over a period of time

Note: The left and right sides of the heart must pump exactly the same volume of blood when averaged over a period of time page 1 HEART AS A PUMP A. Functional Anatomy of the Heart 1. Two pumps, arranged in series a. right heart: receives blood from the systemic circulation (via the great veins and vena cava) and pumps blood

More information

Preoperative Laboratory and Diagnostic Studies

Preoperative Laboratory and Diagnostic Studies Preoperative Laboratory and Diagnostic Studies Preoperative Labratorey and Diagnostic Studies The concept of standardized testing in all presurgical patients regardless of age or medical condition is no

More information

Common types of congenital heart defects

Common types of congenital heart defects Common types of congenital heart defects Congenital heart defects are abnormalities that develop before birth. They can occur in the heart's chambers, valves or blood vessels. A baby may be born with only

More information

Questions FOETAL CIRCULATION ANAESTHESIA TUTORIAL OF THE WEEK 91 18 TH MAY 2008

Questions FOETAL CIRCULATION ANAESTHESIA TUTORIAL OF THE WEEK 91 18 TH MAY 2008 FOETAL CIRCULATION ANAESTHESIA TUTORIAL OF THE WEEK 91 18 TH MAY 2008 Dr. S. Mathieu, Specialist Registrar in Anaesthesia Dr. D. J. Dalgleish, Consultant Anaesthetist Royal Bournemouth and Christchurch

More information

Imaging of Soft Tissue Tumors

Imaging of Soft Tissue Tumors Imaging of Soft Tissue Tumors Leanne L Seeger, MD, FACR Professor & Chief, Musculoskeletal Imaging David Geffen School of Medicine at UCLA Department of Radiology Objectives 1. Apply understanding and

More information

Who Should Have an AF Ablation?

Who Should Have an AF Ablation? Knowledge is Power! In order to help you make the best decisions about AF ablation, we want you to be knowledgeable about your AF and our ablation outcomes The following presentation provides information

More information

Anatomy & Physiology Blood Vessels Worksheet

Anatomy & Physiology Blood Vessels Worksheet Anatomy & Physiology Blood Vessels Worksheet 1. Pulmonary arteries carry oxygenated / deoxygenated blood to the lungs 2. The blood vessel involved in the taking of blood pressure is the artery. 3. Normal

More information

Basic Data. 鍾 XX, female Age:59 y/o

Basic Data. 鍾 XX, female Age:59 y/o Basic Data 鍾 XX, female Age:59 y/o Chief complain for evaluation of the left pleural mass Clinical course This 59 years old lady Hypertension for 3 years, under herbal control. An episode of high BP up

More information