006 Amyloidosis CARDIAC AMYLOIDOSIS66 year old male presents with dyspneaFrontal CXR shows LAE and LVE but no evidence of CHFNote leadless external pacemaker.Ashley Davidoff MD CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaLateral CXR shows LVE and no evidence of RVE.Note leadless external pacemakerAshley Davidoff MD CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaNon gated axial CT through the left atrium at the level of the base of the ascending aorta reveals an A-P dimension of 4.7cms which is slightly enlarged (normal up to about 4.1cms)Ashley Davidoff MD CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaNon gated axial CT through the mitral valve suggests left ventricular hypertrophy. The interatrial septum measures 1.8 mms which in this region is upper limits normal (1.8mms)Ashley Davidoff MD CARDIAC AMYLOIDOSIS66 Male presents with known amyloidosis on MRI and now with increasing dyspnea. CT scan in axial projection shows a right atrium (RA) measuring 5.5cms which upper limits normal to slightly enlarged (normal about 5cms)Ashley Davidoff MD CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaNon gated axial CT through the left atrium at the level of the mitral valve in early diastole reveals a transverse dimension of the RV of 3.3cms (normal up to about 4cms) and a a transverse dimension of the LV of 2.6cms which is small (normal up to about 5cms)Ashley Davidoff MD CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaNon gated axial CT through the opening of the mitral valve suggests early diastole confirms concentric hypertrophy. The septum measures 24.1mms while the free wall measures 19.7mms. Upper limits normal is 14mms.Ashley Davidoff MD CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaNon gated axial CT through the PA and Aorta at the level of the bifurcation reveals a transverse dimension of the MPA of 3.1cms (normal up to 3cms) and a a transverse dimension of the aorta of 2.7cms(normal up to 3. 5cms)Ashley Davidoff MD CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaNon gated coronal CT through the LVOT reveals evidence of LVHAshley Davidoff MD CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaNon gated sagittal CT through the RVOT shows RVH (right ventricular hypertrophy involving both the RV inflow as well as the outflow CARDIAC AMYLOIDOSIS66-year-old male presents with dyspneaGated 4 chamber SSFP MRI sequence through the LV during systole (above) and diastole (below) shows concentric hypertrophy. The septal wall measures 25.6mm and the free wall of the RV measures 15.4mm. (normal up to 14mms.)Ashley Davidoff MD CARDIAC AMYLOIDOSIS LGE SEQUENCEGated short axis delayed gadolinium sequence through the base LV during diastole and shows subendocardial LGE (red arrowheads in a,b,c, and d, diffuse mid myocardial LGE (white arrowheads) (a,b,c,d) and subepicardial LGE in the RV (yellow arrowheads (b,c)Ashley Davidoff MD CARDIAC AMYLOIDOSIS LGE SEQUENCE THROUGH THE ATRIAGated short axis delayed gadolinium sequence through the atria shows LGE in the walls of both atriaAshley Davidoff MD CARDIAC AMYLOIDOSISReport of MRI CARDIAC AMYLOIDOSISReport of MRI CARDIAC AMYLOIDOSISReport of MRI Introduction to Amyloidosis 006H Cardiac Amyloidosis 032H CAD Amyloid Pericardium Question 038Lu Amyloidosis Hilar Lymph Nodes Pericardium CAD 66Lu Amyloid nodules alveolar septal and bronchiole and MAC