CTICasesAcute Myocardial Infarction with Left Ventricular Thrombus
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Imaging findings
Non-contrast abdominal-pelvic CT obtained for abdominal pain reveals myocardial thinning and hypoattenuation in the left ventricular wall, a small thrombus in the left ventricular apex, and apical akinesis, consistent with an acute left anterior descending (LAD) coronary artery myocardial infarction.
Key takeaways
Radiologists must remain vigilant and review the visualized portion of the heart on all scans, including abdominal CTs, as acute myocardial infarctions can sometimes present with referred abdominal symptoms and elevate liver function tests.
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