CXR shows LV configuration, left atrial enlargement (LAE) mild CHF, and a small right effusion Ashley Davidoff MD CXR shows LV configuration, left atrial enlargement (LAE) mild CHF, and a small right effusion Ashley Davidoff MDCT shows dilated LV and thrombus in the apex and probable LAE Ashley Davidoff MD
2 months later
2 months later the LV shows a focal aneurysmal bulge in the apico-septal region and persistent but reduced apical thrombus Ashley Davidoff MD2 months later the LV more inferiorly shows diffuse aneurysmal bulge in the apicoseptal region and thinning of the myocardium with resorption of some of the thrombus Ashley Davidoff MD
Current CT
Severe proximal LAD calcification Ashley Davidoff MDPrevious focal aneurysmal bulge has remodelled and thrombus with dystrophic calcification present Ashley Davidoff MDPrevious focal aneurysmal bulge has remodelled and thrombus with dystrophic calcification present Ashley Davidoff MD
Previous focal aneurysmal bulge has remodelled and thrombus with dystrophic calcification present Ashley Davidoff MDLV more inferiorly shows diffuse aneurysmal bulge in the apicoseptal region and thinning of the myocardium with resorption of some of the thrombus Has a Platypus beak appearance Ashley Davidoff MD
