CTICasesAcute Myocardial Infarction (LAD Distribution) on Abdominal CT
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Imaging findings
A nicely demarcated perfusion defect in the LAD distribution, extending to the apex, without fat, calcium, or wall thinning, detected on an abdominal CT scan.
Key takeaways
This case highlights an acute myocardial infarction picked up incidentally on an abdominal CT ordered for epigastric pain, which turned out to be referred cardiac pain. The delayed phase of contrast from the abdominal CT allowed for a clear demarcation of the infarct. The patient had 100% LAD occlusion confirmed by catheterization, demonstrating the crucial value radiologists can add by recognizing unexpected critical findings.
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