case_images: PMC3621222_01
case_images: Snoopy sign. Lung tissue between aorta and pulmonary artery
case_images: HV-14-29-g001.jpg
case_images: PMC3621222_01_HV-14-29-g001.jpg
case_images: F1
case_images: The Snoopy's sign was present [Figure 1].
case_images: Prominent anterior clear space
case_images: HV-14-29-g002.jpg
case_images: PMC3621222_01_HV-14-29-g002.jpg
case_images: F2
case_images: The anterior clear space was prominent [Figure 2].
case_images: Interposition of the lung between the aorta and pulmonary artery
case_images: HV-14-29-g003.jpg
case_images: PMC3621222_01_HV-14-29-g003.jpg
case_images: F3
case_images: A repeat chest CT with contrast showed no significant change from the previous CT scan, showing the heart to be abnormally rotated to the left side of the chest [Figures 3 and 4].
case_images: Levoposition of the heart
case_images: HV-14-29-g004.jpg
case_images: PMC3621222_01_HV-14-29-g004.jpg
case_images: F4
case_images: A repeat chest CT with contrast showed no significant change from the previous CT scan, showing the heart to be abnormally rotated to the left side of the chest [Figures 3 and 4].
case_images: Seagulls or ghosting artifact. Computed tomography scan of the chest with contrast showing false impression of pulmonary embolism caused by motion artifact of the heart in the absence of a pericardium
case_images: HV-14-29-g005.jpg
case_images: PMC3621222_01_HV-14-29-g005.jpg
case_images: F5
case_images: An echocardiogram confirmed the abnormal orientation of the heart, with the apex of the left ventricle sitting deeply in the left chest and a moderate amount of pulmonary hypertension [Figure 5].
case_images: Normal Computed tomography scan of the chest with IV contrast for comparison
case_images: HV-14-29-g006.jpg
case_images: PMC3621222_01_HV-14-29-g006.jpg
case_images: F6
case_images: The misdiagnosis of pulmonary embolism was attributed to the motion artifact of the swinging heart (Figure 6 showing abnormal CT scan compared with a normal chest CT; Figure 7).
case_images: (a) Shows position of the probe for the apical four-chamber view of a 2-D echocardiogram, (b) a normal 2-D echo with interventricular septum pointing toward the probe, (c) 2-D echo in a patient with congenital absence of pericardium, with left ventricle flopped to the left side and interventricular septum pointing to the left side
case_images: HV-14-29-g007.jpg
case_images: PMC3621222_01_HV-14-29-g007.jpg
case_images: F7
case_images: The misdiagnosis of pulmonary embolism was attributed to the motion artifact of the swinging heart (Figure 6 showing abnormal CT scan compared with a normal chest CT; Figure 7).