PMC6197118_01
Lodox anterior-posterior view: there is intravascular and intracardiac air in the aorta (AO), right atrium (RA), right ventricle (RV) and left ventricle (LV).
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A full body Lodox stat scan was performed prior to the post-mortem computed tomography (PMCT) scan, which was suggestive of air in the right side of the heart, but the results were equivocal due to large patient size and overlying soft tissues (Figure 1).
Axial CT of chest demonstrates large amount of air within the right atrium (RA) and right ventricle (RV) (lung window).
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The PMCT showed large amounts of air in the right ventricle, right atrium, left ventricle, main pulmonary artery, aorta, and vena cava, intracranial, renal, hepatic, mesenteric, and proximal femoral vessels (Figures 2-6).
Coronal CT - lung windows - large amount of abnormal air in ascending aorta (AO). Aortic valve (AV) is delineated nicely demonstrated due to surrounding air.
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The PMCT showed large amounts of air in the right ventricle, right atrium, left ventricle, main pulmonary artery, aorta, and vena cava, intracranial, renal, hepatic, mesenteric, and proximal femoral vessels (Figures 2-6).
Sagittal and coronal CT head: abnormal intra-arterial gas seen within internal carotid arteries (ICA), vertebral artery (VA) and intra-cranial arteries. Air embolus is seen in bilateral peri-callosal anterior cerebral arteries (ACA) and bilateral middle cerebral arteries (MCA) (R = right; L = left).
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The PMCT showed large amounts of air in the right ventricle, right atrium, left ventricle, main pulmonary artery, aorta, and vena cava, intracranial, renal, hepatic, mesenteric, and proximal femoral vessels (Figures 2-6).
Coronal CT-soft tissue window: intravascular air in aorta (AO), pulmonary artery (PA), superior vena cava (SVC) and superior mesenteric artery (SMA). There is intravascular air in the liver and subcutaneous emphysema in the upper chest and neck soft tissues.
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The PMCT showed large amounts of air in the right ventricle, right atrium, left ventricle, main pulmonary artery, aorta, and vena cava, intracranial, renal, hepatic, mesenteric, and proximal femoral vessels (Figures 2-6).
Coronal view (soft tissue window): intravascular air noted in the ascending aorta (AO), right renal vein (REV), inferior vena cava (IVC), abdominal aorta (AAO) and superior mesenteric artery (SMA).
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The PMCT showed large amounts of air in the right ventricle, right atrium, left ventricle, main pulmonary artery, aorta, and vena cava, intracranial, renal, hepatic, mesenteric, and proximal femoral vessels (Figures 2-6).
Axial CT (inverse grey scale): The hepatic parenchyma shows mostly intravascular air filling the intrahepatic vasculature and possibly minute dots of parenchymal air. The area marked with a star represents normal gastric air.
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There was only minimal intraparenchymal air in the liver noted (Figure 7).