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1. Introduction Until recently although always present it was difficult to assess the heart on thoracic CT due to marked motion artefact. With the increasing use of multidetector CT there is now sufficient temporal and spatial resolution to assess the anatomy of the heart and look for any evidence of cardiac pathology. This may be incidental but is often the source of symptoms and can explain other radiological findings. Occasionally there are significant prognostic implications.
By using cases collected from our hospital on multidetector CT machines, we present a structured approach to assess the heart on routine thoracic CT.