CASE 140 65-year-old man with nonspecific chest discomfort and a remote myocardial infarction in the left anterior descending vascular territory 6 years prior Coned-down PA (Fig. 140.1A) and lateral (Fig. 140.1B) chest radiographs demonstrate ovoid, curvilinear, laminated rings of calcification located more than 2 mm within the outer confines of the cardiac silhouette delineating the anterior and apical walls of the left ventricle. These calcifications are seen to better advantage on the accompanying inverted PA (Fig. 140.1C) and lateral (Fig. 140.1D) images. Fig. 140.1 (Images courtesy of James Messmer, MD, VCU Medical Center, Richmond, Virginia.) Calcified Left Ventricular Aneurysm • Myocardial Calcifications • Pericardial Calcifications (calcific pericarditis) (see Case 141) – Coxsackievirus – Influenza A and or B • Pericardial Cyst
Clinical Presentation
Radiologic Findings
Diagnosis
Differential Diagnosis
Atherosclerosis in Aorta or Coronary Arteries
Aortic or Mitral Valvular or Annular Calcifications
Mural Calcifications Post-Infarction
Calcified Thrombus
Cardiac Fibroma
Post-Traumatic
Post-Infectious
Viral Agents
Mycobacterium tuberculosis
Histoplasmosis
Systemic Lupus Erythematosus
Uremia
Rheumatic Heart Disease
Discussion
Background
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