Myocardial Ischemia

Katherine R. Birchard

CLINICAL HISTORY

62-year-old female with chest pain, who underwent CTA to assess for aortic dissection.

FIGURE 46A

FINDINGS

Figure 46A: Axial contrast-enhanced arterial-phase computed tomography angiography (CTA) image of the heart shows decreased attenuation of interventricular septum (arrows) of the left ventricle, compared with the lateral wall, which shows normal enhancement.

DIFFERENTIAL DIAGNOSIS

Myocardial ischemia, subendocardial infarct, artifact.