Demographics:
76 years old, Male
Indication:
Dyspnea
Findings
Chest radiograph
- Enlarged cardiopericardial silhouette
- Dual lead left subclavian approach ICD with leads projecting in the right atrium and right ventricle
- Thoracic aortic atherosclerosis
- Mild streaky bibasilar opacities
CT
Chest
- Nonocclusive right lower lobe subsegmental pulmonary embolism
- Outpouching arising from the inferior wall of the left ventricle with mural thrombus and peripheral calcification
- Small pericardial effusion
- Thoracic aortic atherosclerosis without aneurysm
- Moderate coronary artery calcification
- Moderate centrilobular emphysema
- Diffuse bronchial wall thickening with multifocal mucous plugging
- Mild dependent bilateral lower lobe atelectasis
- Subcentimeter hypodense thyroid nodules, which do not meet size criteria for further imaging evaluation
- Left subclavian approach ICD with leads in the right atrium and right ventricle
Upper abdomen
- Pneumobilia (patient had history of recent sphincterotomy)
- Splenomegaly
- Adreniform thickening of the right adrenal gland
MSK
- Healing fractures of the right anterior fifth and sixth ribs
- Left infraspinatus intramuscular lipoma
Diagnosis
Left ventricular false aneurysm
Sample Report
Nonocclusive right lower lobe subsegmental pulmonary embolism.
Outpouching arising from the inferior wall of the left ventricle most suggestive of a false aneurysm (pseudoaneurysm).
Findings suggestive of infectious or inflammatory bronchitis.
Discussion