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Air appears around heart but does not extend above great vessels

Air in the pericardial sac is limited by the normal pericardial reflections. Pneumo-pericardium is often secondary to an infectious process with associated pericardial fluid and thickening, which will produce an air-fluid level on horizontal beam radiographs. Pneumo-pericardium may produce a similar finding continuous diaphragmatic sign
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Air within the pericardial sac will rise to a nondependent position on decubitus positioning, unlike mediastinal air, which is not mobile.

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Comment by Dr. Chandra Sundararajan Maudar on April 27, 2011 at 3:00pm

wonderful case!

 

Comment by saeed rad on April 27, 2011 at 1:50pm
Nice case, thanks.
Comment by radRounds Radiology Network on April 27, 2011 at 11:17am
Great case!
Comment by M.T Niknejad on April 27, 2011 at 10:55am
Thanks dear dr lokhande ...
Comment by Dr ritu lokhande on April 26, 2011 at 11:52pm

Nice description as usual.

 

 

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