Imaging of Cardiac Herniation in Traumatic Pericardial RuptureNassiri, Naiem MD*; Yu, Aaron MD†; Statkus, Nicholas MD†; Gosselin, Marc MD†Journal of Thoracic Imaging: February 2009 - Volume 24 - Issue 1 - p 69-72 doi: 10.1097/RTI.0b013e31818d12de Pictorial Essay Abstract Author Information Cardiac herniation as a result of traumatic pericardial rupture is a serious injury and a difficult diagnosis to make on radiographic studies. Even with the more advanced imaging modalities, this rare diagnosis remains challenging. In a high-energy traumatic setting, there are chest radiograph and multidetector computed tomography findings that are strongly suggestive of cardiac herniation. The imaging, along with greater awareness of this injury, may provide a more rapid diagnosis, thus potentially preventing the severe clinical deterioration often seen in these patients. *School of Medicine †Department of Diagnostic Radiology, Oregon Health and Science University, Portland, OR There are no sources of support funding the preparation of this manuscript. Reprints: Marc Gosselin, MD, Director of Thoracic Imaging, Department of Diagnostic Radiology, Oregon Health and Science University, Mail Code L-340, 3181 SW Sam Jackson Park Rd, Portland, OR 97239 (e-mail: firstname.lastname@example.org). © 2009 Lippincott Williams & Wilkins, Inc.