case_images: PMC11032154_01
case_images: Twelve lead electrocardiography showing sinus rhythm with first-degree AV block, low voltage limb leads, extreme right axis deviation, and absent R wave progression.
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case_images: Electrocardiography (ECG) showed sinus rhythm, extreme right axis deviation, absent R wave progression, and low voltage on limb leads (Figure 1).
case_images: Parasternal long-axis view of transthoracic echocardiography, which was taken from an unusual window at the fourth intercostal space along the mid-axillary line.
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case_images: Due to the abnormal ECG; echocardiography was ordered and showed a leftward-displaced heart and poor echocardiographic window (Figure 2).
case_images: The scout film of CT exhibiting the snoopy sign, which is characterized by a leftward and posterior displacement of the heart as well as an elongation and straightening of the left heart border (red arrows). The right cardiac border is also absent (blue arrows).
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case_images: The CT scan's scout film showed a loss of the right cardiac border as well as a snoopy sign, which is characterized by an elongated and straightened left heart border and displacement of the heart to the left and posterior (Figure 3).
case_images: An axial CT scan image demonstrates the heart's displacement into the left hemithorax and the total lack of pericardium along the left ventricular border (red arrow).
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case_images: Axial CT scan images demonstrated a levopositioned hearthaving a posteriorly directed cardiac apex with an absent left side of the pericardium completely (Figure 4) and an interposition of the lung tissue between the pulmonary artery and aorta (Figure 5).
case_images: Axial CT scan image revealing lung tissue between the aorta and the main pulmonary artery (blue arrow).
case_images: IMCRJ-17-347-g0005.jpg
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case_images: Axial CT scan images demonstrated a levopositioned hearthaving a posteriorly directed cardiac apex with an absent left side of the pericardium completely (Figure 4) and an interposition of the lung tissue between the pulmonary artery and aorta (Figure 5).