Truth in beauty and beauty in layers...

Cases

Myocardial infarction

45 yo M with acute chest pain. CT chest done to rule out dissection.

Conventional CT image through left ventricle looks within normal limits.

Spectral images show large perfusion defect in the distal antero-septal wall. Note iodine uptake is essentially zero (about 1.15 mg/mL in normal myocardium).

Patient had a LAD infarct with stent placement done 3 days prior to CT.

beshtmi.jpg
beshtmi.jpg
bemi2.jpg
Gopal PunjabiComment