Prominent Third Mogul - Left ventricular aneurysm
“Moguls of the heartâ€
“Moguls of the heartâ€
Skiing the moguls of the heart refers to the left mediastinal outline beginning at the aortic knob.
Causes of first mogul (prominent aortic knob)
Ectasia
Aneurysm
Hypertension
Causes of second mogul (prominent main PA segment)
Excessive Post-stenotic dilatation,
Chronic obstructive pulmonary disease,
PA hypertension,
Left-to-right shunts,
Pericardial defects.
(Severe concavity suggests right-to left shunts)
Cause of third mogul (prominent LA appendage)
1. Cardiac aneurysm
2. Cardiac or pericardial tumor or cyst
3. Coronary artery aneurysm of fistula
4. Corrected transposition
5. Ebstein malformation
6. Left atrial appendage enlargement, double atrial appendage
7. Mediastinal tumor
8. Myocardial tumor
9. Myocardial hypertrophy, severe
10. Pericardial defect
11. Sinus of valsalva aneurysm
12. Thymus gland, normal
13. wooden –shoe configuration in fallots Tetralogy
The fourth mogul is a (bulge just above the cardiophrenic angle, )
Ventricular aneurysm
Infarction
A fifth mogul (bulge at the cardiophrenic Angle)
Pericardial cyst,
Prominent fat pad,
Adenopathy.