1977996
Middle-aged male presents with chest pain. Pt reports waking up at 3 am with non-radiating pleuritic and constant pressure-like epigastric pain, which he has never had before. Pain is better with lying flat, worse with sitting up and leaning forward. Feels some SOB, but no CP. No recent travel, but possibly has had recent viral cold symptoms in the past 24 hours. Denies cardiac hx. Denies recent travel or hospitalizations.
Impression:
1. No aortic aneurysm or acute aortic pathology.
2. Pericardial effusion, with pericardial thickening and enhancement and
adjacent fat stranding highly suspicious for acute pericarditis. Recommend
follow-up echocardiogram for further characterization.
3. Small subendocardial fat in the distal left ventricular anterior wall,
may represent normal variant versus sequelae of previous myocardial
infarct.
No comments:
Post a Comment
DEAR READER: I have loved receiving your comments, but I am no longer able to moderate them. Since the vast majority are SPAM, I need to moderate them all. Therefore, comments will rarely be published any more. So Sorry.