026H SLE Pulmonary Hypertension Libman Sacks

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

CARDIOMEGALY WITH RVE
SLE and PULMONARY HYPERTENSION without ILD

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.

LARGE PA SLE and PULMONARY HYPERTENSION without ILD
Ashley Davidoff MD
RAE AND RVE
Ashley Davidoff MD
RAE AND RVE and RVH
Ashley Davidoff MD

 

RVE and RVH
Ashley Davidoff MD
SLE and PULMONARY HYPERTENSION without ILD
Ashley Davidoff MD
RVE AND RVH, LIBMAN SACKS
Ashley Davidoff MD
RVE AND RVH, LIBMAN SACKS
Ashley Davidoff MD
GROUND GLASS, NO ILD
Ashley Davidoff MD
GROUND GLASS, NO ILD
Ashley Davidoff MD
GROUND GLASS, NO ILD
Ashley Davidoff MD

 

A current non contrast abdominal CT shows a pericardial effusion

PERICARDIAL EFFUSION
Ashley Davidoff MD