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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
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 Zakaria Elzoghbi on January 6, 2017 at 3:54pm

Can I aske how to manage this nice case ?

Comment by imuwithash on December 26, 2011 at 4:56am

Nice !

Comment by Magdoleen Siddig on September 3, 2011 at 6:49am



Comment by Dr. Shoeb Katrawala on July 18, 2011 at 1:59am
Comment by wesam a shamma on June 6, 2011 at 12:59pm
Nice case
Comment by saeed rad on May 5, 2011 at 2:07pm
Reviewed again the chest x-ray there was nothing except for the pneumopericard explained by Dr Niknejad. I don't find abnormalities mentioned by Dr Babikir.
Comment by MOSAAB BABIKIR ABD ELLATIF AHMED on May 5, 2011 at 1:31pm

Chest x.ry reveld:-

-- slightly bilateral pra-hilar congestion with well pulmonary vascular marking.

-- right cardiac border enlarged could be indicated to ascending aorta dilated, implement to the aortic valve stenosis

---also the lower part of right cardiac border is prominant could be IVC dilated???

-- - Air in the left pericardium could be pericarditis???

--- Lung parenchyma in both sides are free inspite of the peripharies are masked by scapular shadow.

-- both lateral cpa are free.

-- cardiac size and configration within normal limit.

Comment by saeed rad on April 28, 2011 at 12:54pm
Thanx once more.
Comment by M.T Niknejad on April 28, 2011 at 5:31am
Thanks for comments ...
Comment by saeed rad on April 28, 2011 at 12:49am
Really wonderful case. Thanks.

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