27-year-old female presents with dyspnea and a past history of SLE, Raynaud’s disease, and Lupus nephritis.
Chest X-ray shows cardiomegaly with right ventricular configuration on the PA and an enlarged main and probably left pulmonary and an enlarged descending RPA. The lateral confirms the enlarged RV and raises the possibility of LV enlargement.
CARDIOMEGALY WITH RVE and LARGE PA  Ashley Davidoff MD

The CT scan confirms an enlarged MPA, RPA, RA and RV, and shows calcification on the posterior leaflet of the mitral valve consistent with Libman Sacks vegetation. There is mild ground glass opacity at the lung bases but no sign of ILD.

 

 

•  murantic or verrucous endocarditis, is a form of
  • nonbacterial thrombotic endocarditis (NBTE)
  • sterile vegetations on the
  • cardiac valves.
  • Images
  • end-stage or healed form  is a fibrous plaque,
  • sometimes with focal calcification.^{434445464748495051}

 

A current non contrast abdominal CT shows a pericardial effusion