PMC5537396_01
Head CT without contrast. Part (A) Arrow head point towards right sided pneumocepahalus. Part (B) Arrow head pointing towards left sided cerebellar hemorrhage.
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PMC5537396_01_gr1.jpg
fig1
Head revealed pneumocephalus and a left cerebellar hemorrhage (Fig. 1).
CT angiogram of chest. 5 mm out pouching (cricled) arising from the left posterior lateral left atrium. This may represent a pseudoaneurysm from recent ablation or congenital diverticula in Part (A) (transverse) and part (B) sagittal view.
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PMC5537396_01_gr2.jpg
fig2
Atria esophageal fisula (AEF) was highly suspected. A CT angiogram of the chest revealed a 5 mm posterior left atrial diverticulum consistent with AEF (Fig. 2).