Demographics:
66 years old, Female
Indication:
Chest pain
Findings
Chest radiograph
- Enlarged cardiopericardial silhouette with calcification in the left ventricular wall centered around the apex
CT
Chest
- Ballooning of the left ventricular apex and apical anterolateral wall with mural calcification and partially calcified mural thrombus
- Thoracic aortic atherosclerosis without aneurysm
- Moderate coronary artery calcification
- Small hiatal hernia
- Multiple pleural based nodules in the left hemithorax, some of which have associated calcification
Upper abdomen
- No acute findings
- Cholecystectomy
MSK
- No acute findings
Diagnosis
Left ventricular true aneurysm
Sample Report
No acute findings.
Ballooning of the left ventricular apex and apical anterolateral wall with mural calcification and associated partially calcified thrombus at the apex, most suggestive of a true aneurysm.
Multiple partially calcified pleural-based nodules in the left hemithorax. Recommend correlation with prior outside imaging, if available, to document stability. Otherwise consider follow-up chest CT in 3 months or PET/CT for further evaluation.
Discussion