Vanished into thin air - Morgagni hernia producing echo artifact and diagnosed by cardiac CT

An 82-year-old woman presented with aphasia and right sided weakness and was diagnosed with an acute stroke. She was unable to undergo an MRI due to a cochlear implant but received thrombolytics for suspected large vessel occlusion. A carotid CT angiogram did not show significant stenosis. She underwent a transthoracic echocardiogram (TTE) to rule out a potential cardiac etiology. TTE windows were challenging [Panel A, Parasternal long axis view (PLAX). Panel B, Short axis view (SAX), Movie 1]. Subcostal views were only marginally better. (Source: Journal of Cardiovascular Computed Tomography)

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from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2TRjuYT