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Kawasaki Disease Coronary Aneurysms

Imaging findings

Chest radiograph shows ring-like calcifications projecting over the cardiac shadow. Cardiac MRI and CT show giant, calcified aneurysms of the coronary arteries in a 52-year-old male with a childhood history of Kawasaki disease.

Key takeaways

Kawasaki disease is an acute vasculitis of childhood. Coronary artery aneurysms are the most common complication and can calcify, presenting in adulthood as ring-like calcifications on radiographs and causing myocardial ischemia.

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