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Vascular abnormalities not to miss on routine chest CT: A pictorial review

Rebecca Jamieson1, Ahmed Kharabish2, Monika Radikė3

  • 1Department of Radiology, University Hospitals of Morecambe Bay Foundation Trust, Burton Rd, Kendal, UK.

European Journal of Radiology
|November 19, 2024
PubMed

Insights

This review aids radiologists in identifying cardiovascular abnormalities in thoracic computed tomography (CT) scans. It focuses on key intrathoracic vessels in non-gated or unenhanced imaging for better patient triage.

Area of Science:

  • Radiology
  • Cardiovascular Imaging
  • Thoracic Imaging

Background:

  • Thoracic computed tomography (CT) has numerous indications.
  • Identifying cardiovascular findings in thoracic CT can be challenging, particularly in non-gated or unenhanced studies.
  • Accurate triage of cardiovascular findings is crucial for patient management.

Purpose of the Study:

  • To provide a pictorial review of common cardiovascular abnormalities.
  • To focus on abnormalities of the aorta, superior vena cava, pulmonary arteries, and coronary arteries.
  • To assist radiologists in interpreting non-gated enhanced or unenhanced thoracic CT scans.

Main Methods:

  • Pictorial review of relevant cases.
  • Focus on main intrathoracic vessels.
  • Illustrations of common abnormalities.

Main Results:

  • Demonstration of key abnormalities in the aorta, superior vena cava, pulmonary arteries, and coronary arteries.
  • Visual examples of findings in non-gated and unenhanced CT.
  • Guidance on identifying and triaging cardiovascular findings.

Conclusions:

  • Thoracic CT is essential for evaluating cardiovascular structures.
  • Radiologists can improve detection of cardiovascular abnormalities with focused review.
  • This pictorial guide enhances diagnostic accuracy in non-gated thoracic CT.

Keywords:
AortaAortic archBronchial arteryCardiovascularChestComputed tomographyPulmonaryThoraxVascular

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