(Radiology. 2001;219:80-81.)
© RSNA, 2001
Case 371
Nalini L. Raju, MD and
John H. M. Austin, MD
1 From the Columbia University College of Physicians and Surgeons, New York, NY (N.L.R.); and the Department of Radiology, Columbia Presbyterian Center, New York Presbyterian Hospital, New York, NY (J.H.M.A.). Received September 1, 1999; revision requested October 14; revision received January 21, 2000; accepted February 1. Address correspondence to N.L.R., 240 Grandview Ave W, Roseville, MN 55113 (e-mail: nlraju@rocketmail.com).
Index terms: Diagnosis Please
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HISTORY
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A 63-year-old man presented to the emergency room with left-sided chest pain. He reported no other symptoms and no history of trauma. He gave a history of asthma since childhood, denied having any other major medical illnesses, and reported taking no medications. Blood pressure was 170/60 mm Hg. Physical examination results were otherwise normal. Complete blood count and serum glucose and electrolyte levels were within normal limits. Chest computed tomography (CT) was performed to rule out aortic dissection (Figure).
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Figure a. Contiguous transverse CT images obtained with a 5-mm section thickness, without intravenously administered contrast medium, at the level of the base of the heart and the superior aspect of the liver. (d) Transverse CT image shows attenuation values for two regions also shown in b: -117 HU for region 1 and 34 HU for region 2.
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Figure b. Contiguous transverse CT images obtained with a 5-mm section thickness, without intravenously administered contrast medium, at the level of the base of the heart and the superior aspect of the liver. (d) Transverse CT image shows attenuation values for two regions also shown in b: -117 HU for region 1 and 34 HU for region 2.
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Figure c. Contiguous transverse CT images obtained with a 5-mm section thickness, without intravenously administered contrast medium, at the level of the base of the heart and the superior aspect of the liver. (d) Transverse CT image shows attenuation values for two regions also shown in b: -117 HU for region 1 and 34 HU for region 2.
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Figure d. Contiguous transverse CT images obtained with a 5-mm section thickness, without intravenously administered contrast medium, at the level of the base of the heart and the superior aspect of the liver. (d) Transverse CT image shows attenuation values for two regions also shown in b: -117 HU for region 1 and 34 HU for region 2.
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FOOTNOTES
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E-mail the most likely diagnosis to dxplease@rsna.org (use only for submission of diagnosis). Include case number, your name (as you would want it to appear in the journal), address, phone and fax numbers. Only one case, one name, and one diagnosis per e-mail submission. Multiple diagnoses, multiple submissions, submissions without a case number will not be considered. Deadline: June 15, 2001. Answer will appear in the August issue. Authors wishing to submit cases for Diagnosis Please should first write to the Editor to obtain approval for the case and further information.
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