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The Cardiothoracic Ratio on Trial
Snehansh Chaudhary1, Jeevika1, Saurabh Jha1
1Department of Radiology, University of Pennsylvania & Perelman School of Medicine, 3400 Spruce Street, Philadelphia PA, 19102.
Abstract:
We explore a case of missed myocarditis which resulted in cardiac arrest and brain injury in an 18-month-old infant. The radiologist was deemed negligent for failing to suggest the possibility of myocardial dysfunction on a pediatric chest radiograph with an elevated cardiothoracic ratio. We analyze why the imperfections of the chest radiograph place radiologists at medico-legal risk. We explore solutions which may mitigate that risk.
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