Presentation
Chest pain and shortness of breath. No fever.
Patient Data
Increased hepatic attenuation (average density=91 HU). Mild cardiomegaly. Multiple calcifications are seen in the coronary arteries. Mild bronchiectatic and atelectatic changes in the right middle lobe. No pleural/pericardial effusion or significant mediastinal lymphadenopathy is seen. Small fat containing right posterior diaphragmatic hernia. Small isodense cortical lesion/cyst at the upper pole of the left kidney.
Annotated CT image showing the density measurement (HU) of the liver and spleen.
24-hour holter monitor report showing multiple premature ventricular contractions (PVCs).
Case Discussion
Known case of bronchial asthma, hypertension and heart failure.
Patient is on amiodarone for last three years for high premature ventricular contractions (PVCs) burden.
Echocardiogram: Ejection fraction =45-50 %, moderate-severe mitral regurgitation, mild-moderate aortic regurgitation, mild tricuspid regurgitation, grade 1 diastolic dysfunction, normal IVC and pericardium.
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