Cardiac tamponade x ray

Cardiac tamponade Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]

Overview

Cardiac tamponade is a clinical diagnosis, however chest X ray can be helpful sometimes. It will demonstrate pneumopericardium and cardiac silhouette changes.

X Ray

• X ray can very helpful for assessing outcome of treatment.
• however it is not the first choice for cardiac tomponade, after diagnosis is made the best option is to preform ultrasonography.
• It will show an enlarged globular-shaped heart .
• Due to pneumocardium (tension pneumopericardium) a substantial decrease in the size of the cardiac silhouette may be observed.

Cardiac tamponade with enormous heart silhouette in a 4 years old child.