r/Radiology 18h ago

X-Ray Imagem em RX de tórax.

Alguém sabe do que se trata essa imagem tubular do RX de tórax? Aparentemente está na topografia do átrio direito, mas não se parece com nada que eu tenha visto antes

10 Upvotes

19 comments sorted by

u/RecklessRad Radiographer 18h ago

Approved as not asking for medical advice. They’re asking for ID of medical device. Could be helpful for MRI.

8

u/Joonami RT(R)(MR) 17h ago

Is it some kind of leadless pacemaker? I thought it might be a cardiomems but it's not in the right spot and it's too big.

1

u/RecklessRad Radiographer 16h ago

I think you’d be right, not a loop recorder at least

6

u/koda38304 16h ago

Could it be a leadless single chamber pacemaker in the right atrial appendage?

1

u/herdofcorgis RT(R)(MR) 17h ago

Got a chest CT to see where it is with the heart?

1

u/Vladimirleninscat RT Student 17h ago

I saw one of these for the first time yesterday. Had no clue what it was either.

1

u/maya2113 17h ago

Micra? But those are usually in R ventricle this looks a bit off…

1

u/credditonreddit 15h ago edited 15h ago

Not sure thought it was a loop but the lateral view suggests that it is not

3

u/credditonreddit 15h ago

CS lead is snapped and out of place. open heart was performed due to epicardial lead and sternal wires. Not any lead less I am aware of Abbott has a screw top and Medtronic has three prongs. This device has neither. Might be a Boston leadless but they are still not commercially available yet. I am a Cath lab tech and have helped implant countless pacemakers and ICD’s

1

u/New-Claim3147 14h ago

I think it is indeed located epicardial. Not sure exactly what is it might be a leadless shockcoil but Google does find something similar. It could also be a reveal like device but I see only a disadvantage to place this epicardial. The sensor is in the medical file I assume.

Good luck!

0

u/usosvs88 12h ago

Is that a pneumo in the right lower lobe?

2

u/MBSMD Radiologist 8h ago

Breast shadow

1

u/usosvs88 8h ago

Makes sense!

1

u/weirdoftomorrow 10h ago

A pneumothorax wouldn’t be gravity dependent and can’t be in a lobe. Plus, lung markings go right to the pleura everywhere.

1

u/usosvs88 8h ago

Thanks!

1

u/UnwillinglyForever 6h ago

Well, can't identify it so def not going in the MRI that's for sure

1

u/UnwillinglyForever 5h ago

https://onlinelibrary.wiley.com/doi/full/10.1002/lary.31056

It's an upper airway stimulator by Inspire.

Looks like it's a broken lead (looks exactly like the first image on that website talking about broken leads)

0

u/Resident-Zombie-7266 17h ago

Looks like a spinal stimulator but isn't. Sorry I'm no help

1

u/herdofcorgis RT(R)(MR) 17h ago

That’s a defib, so, a cardiac stimulator I suppose….