1. Cardiovascular Imaging M. J. McCowin, MD Clinical Professor of Radiology, UCSF G. Caputo, MD Professor of Radiology, UCD

4. PA heart < ½ chest diameter

5. Chamber Enlargement LA LV RV RA LV RV la append LA

6. Cardiac Contours: enlarged RA, LA, and RV in mitral stenosis

7. New enlarged LV due to aneurysm

8. Aortic Valve calcified due to AS

9. 4 chamber enlargement due to MS/MI

10. PA and Lateral vs AP portable

13. Large Cardiac Contour

16. Relationship of aortic arch,pa,azyg v. to trach carina

17. Heart Failure

19. Which vessels are bigger, busier,more peripheral?

20. Dry Wet

22. Air-space edema

25. Cardiac anatomy as seen in SPECT nuclear imaging short axis, horiz. long., vert .long.

26. Diagram of short axis perfusion images: Would you pay full price for this donut? YES! the “ donut” is all there. (normal septal thinning)

27. Thallium stress/rest: reversible ischemia inf/septum c/w RCA disease stress rest stress rest large “bite” out of donut! “ donut bite” fills in at rest

28. Circumferential data confirms reversible inferoseptal ischemia

29. Reversible ischemia ( ant/sept/apex) & stress-induced lv dilation Transient ischemic myocardial dysfunction S R R S R S

30. Fixed lateral perfusion deficit. ( fixed “bite out of donut”) stress rest stress rest

31. Cardiac Wall Motion with quantitative ejection fraction (chemo rx)

32. Regional wall motion

34. MRA cong double arch post-op ligation of left arch

35. Dilated LV and RA

36. Ao valv, pap muscle, rt pleural fluid, dilated lv

37. Coronal MRI shows aorta, av, lv (can eval for stenosis and regurg) Spin echo “black blood” anatomy Gradient echo “white blood” function & flow

61. CT coronary angiography

62. CT coronary angiography

63. CT coronary angiography

67. Ultrasound of Carotid Artery CCA ICA ECA

68. Ultrasound of Carotid Artery note: brain, kidneys, heart must have both systolic & diastolic flow systole diastole

69. Atherosclerotic Plaque

70. Ultrasound for Venous Dx

72. Abdominal Aortic Aneurysm

73. Abdominal Aortic Aneurysm MR

74. Abdominal Aortic Aneurysm CTA with 3D Rendering

76. MRA for central and peripheral Arteries and veins

78. Aortic Trauma

79. Aortic Trauma

81. Pulmonary Artery Emboli Nuclear Medicine Perfusion Scan

82. CTAngiography for pulmonary artery emboli

83. Peripheral Vascular Disease

84. PVD after balloon Rx

85. Endovascular Stents

86. Endovascular repair of aneurysm

87. Endovascular repair of aneurysm

88. Acute Chest Pain: will CTA become the one stop shop?

89. CTAngiography for pulmonary artery emboli

90. Aortic dissection

91. CT coronary angiography