Test Yourself

Case 1

HISTORY

The patient presented with vague chest pain. A chest xray revealed a widened mediastinum. 

ULTRASOUND FINDINGS

There is a pericardial effusion with a mobile echogenic mass seen to move on the surface of the right ventricle, consistent with a thrombus. The aortic root is dilated. 

CONCLUSION

Although a dissection flap could not be seen on the bedside echo, the combination of chest pain, haemorrhagic pericardial effusion and dilated aortic root is virtually diagnostic of aortic dissection.

SUBMITTED BY:

Adrian Goudie


Chest xray

Chest xray

Widened mediastinum is evident on the CXR
Chest xray Subcostal view Parasternal long Apical 4ch view