Hypertrophic Cardiomyopathy – Apical HCM

Xray in PA and lateral shows cluster of calcifications in the region of the left ventricular apex (arrows). The patient is a 73 year old female with apical hypertrophic disease . She has a history of diastolic heart failure, pulmonary hypertension, CREST, esophageal stricture, COPD and chronic renal failure
heart0067-low res
The left image is a lateral view of the chest, and the arrow points to the intracardiac calcification. The image on the right is a CT scan of a sagittal view of the left ventricle showing LV apical hypertrophy (red line), mass-like calcification in the LV cavity (white arrow) and contrast in the right ventricle.
The patient is a 73 year old female with apical hypertrophic disease. She has a history of diastolic heart failure, pulmonary hypertension, CREST, esophageal stricture, COPD and chronic renal failure
heart0068b-low res
Ashley Davidoff MD
The CT axial images shows native image on the left . Markers on the right image, show left ventricular (LV) apical hypertrophy (red line) calcified mass in the apex (white arrow) LV cavity with contrast (red dot) and pericardial effusion (pink arrow)
The patient is a 73-year-old female with apical hypertrophic disease. She has a history of diastolic heart failure, pulmonary hypertension, CREST, esophageal stricture, COPD and chronic renal failure
heart0069b02 Ashley Davidoff MD

 

The CT axial images shows an enlarged pulmonary artery (PA) indicating pulmonary hypertension, and I an enlarged left atrium (LAE, b) , a small left ventricular (LV) cavity (red circle , c) calcified foci in the LV (c and d white arrows, and a small pericardial effusion (red arrow d)
The patient is a 73-year-old female with apical hypertrophic disease. She has a history of diastolic heart failure, pulmonary hypertension, CREST, esophageal stricture, COPD and chronic renal failure

Ashley Davidoff MD

The CT coronally reconstructed images show a small left ventricular (LV) cavity (red circle ,a,b,c,d) intracavitary calcification (white arrow a,b), apical LV hypertrophy (LVH, red arrows b, and c) and a small pericardial effusion (blue arrow, d)
The patient is a 73-year-old female with apical hypertrophic disease. She has a history of diastolic heart failure, pulmonary hypertension, CREST, esophageal stricture, COPD and chronic renal failure

Ashley Davidoff MD

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