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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Introduction
1 topic, 1 min.
Lesson
Advanced Coronary Anatomy
4 topics, 17 min.
Lesson
Myocardial Anatomy and Physiology
4 topics, 18 min.
Lesson
Technique and Protocols
2 topics, 6 min.
Lesson
CAD-RADS and Reporting Guidelines
3 topics, 17 min.
Lesson
Case Review: Overview
4 topics, 25 min.
Optimal Use of Ambra to Review Coronary CT Cases in this Course
7 m.Approach to Reading Coronary CT in Patients with Known CAD: Assessing Image Quality
7 m.Approach to Reading Coronary CT in Patients with Known CAD: Evaluating Coronary Arteries
10 m.Approach to Reading Coronary CT in Patients with Known CAD: Additional Testing
4 m.Lesson
Case Review: Stenosis
17 topics, 1 hr. 38 min.
Moderate Stenosis
8 m.Severe Stenosis, Single Vessel
7 m.Severe Stenosis, Complex Disease With CT-FFR Discrepancy
8 m.Severe Stenosis, Complex Disease (Obtuse Marginal Branch)
9 m.Moderate Stenosis in the Mid-LAD
4 m.Native Coronary Aneurysm
3 m.Stent Occlusion
8 m.Total Occlusion
9 m.Total Occlusion, Complex Disease
7 m.Severe Stenosis With Serial Lesions, Known MI, High-risk Patient
8 m.Severe Stenosis With Serial Lesions, Emergency Chest Pain
7 m.Moderate Stenosis With Serial Lesions
5 m.Role of CT FFR in Translesional Gradient Evaluation, Low-risk Patient in Mid-40s
6 m.Role of CT FFR in Translesional Gradient Evaluation, Setting of a Stent
4 m.CT FFR Limitation: Small Vessel Caliber
4 m.CT FFR Limitation: Motion Artifact (Case 1)
6 m.CT FFR Limitation: Motion Artifact (Case 2)
3 m.Lesson
Case Review: Bypass Grafts (CABG)
6 topics, 37 min.
Lesson
Case Review: Sequelae of Ischemic Coronary Disease
5 topics, 15 min.
Lesson
Case Review: Post-myocardial Infarction Complications
7 topics, 17 min.
Lesson
Case Review: Planning for Coronary Interventions
6 topics, 33 min.
Lesson
Conclusion
1 topic, 2 min.
0:00
Okay, this patient is a patient with prior cabbage
0:04
and, uh, known to have coronary disease.
0:07
They recently had another mi
0:09
and I'm just showing you this scout radiograph
0:11
from the chest ct.
0:13
Just to show you, we know they're in CHF
0:15
and there may even be a pericardial effusion.
0:16
You could sort of see that little ri of fat
0:19
between the fluid, um, and the fat.
0:21
Um, and in fact, um, that's what we see in the ct.
0:24
And I just wanted to point this out that, um, if you end up
0:28
with an effusion, um, you should certainly worry about, uh,
0:32
hemo, pericardium and a rupture.
0:34
But when you measure things and it's closer to water density
0:37
and, you know, there's been a recent mi there's a phenomenon
0:40
called dresler syndrome, which is kind of an inflammatory,
0:43
uh, pericardial effusion that crops up.
0:45
And that's what this was. So, um, this was not a rupture,
0:48
uh, but rather just dresler syndrome.
0:51
So you can see here, uh, we've got a non-contrast ct.
0:55
Um, it'll be hard to be a hundred percent certain,
0:58
but it really doesn't look like there's any kind
1:00
of flattening of the, um, heart
1:02
or any kind of a high pressure, uh, effusion, uh,
1:05
or, um, tamponade physiology.
1:08
Certainly Echocardio is very good for that.
1:10
And this is not circumferential near circumferential.
1:12
So, uh, again, Dressler syndrome
1:14
after a recent myocardial infarction.
DRESSLER Syndrome
HIDEInteractive Transcript
0:00
Okay, this patient is a patient with prior cabbage
0:04
and, uh, known to have coronary disease.
0:07
They recently had another mi
0:09
and I'm just showing you this scout radiograph
0:11
from the chest ct.
0:13
Just to show you, we know they're in CHF
0:15
and there may even be a pericardial effusion.
0:16
You could sort of see that little ri of fat
0:19
between the fluid, um, and the fat.
0:21
Um, and in fact, um, that's what we see in the ct.
0:24
And I just wanted to point this out that, um, if you end up
0:28
with an effusion, um, you should certainly worry about, uh,
0:32
hemo, pericardium and a rupture.
0:34
But when you measure things and it's closer to water density
0:37
and, you know, there's been a recent mi there's a phenomenon
0:40
called dresler syndrome, which is kind of an inflammatory,
0:43
uh, pericardial effusion that crops up.
0:45
And that's what this was. So, um, this was not a rupture,
0:48
uh, but rather just dresler syndrome.
0:51
So you can see here, uh, we've got a non-contrast ct.
0:55
Um, it'll be hard to be a hundred percent certain,
0:58
but it really doesn't look like there's any kind
1:00
of flattening of the, um, heart
1:02
or any kind of a high pressure, uh, effusion, uh,
1:05
or, um, tamponade physiology.
1:08
Certainly Echocardio is very good for that.
1:10
And this is not circumferential near circumferential.
1:12
So, uh, again, Dressler syndrome
1:14
after a recent myocardial infarction.
Report
Faculty
Brian Ghoshhajra, MD, MBA, MSCCT
Academic Chief, Cardiovascular Imaging and Associate Chair, Operations Analytics
Massachusetts General Hospital / Harvard Medical School
Tags
Vascular
Myocardium
Coronary arteries
Cardiac Chambers
Cardiac CT (SCCT Cat B1 Video Case)
Cardiac
CTA
CT
Angiography
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