Acute myocarditis
Updates to Case Attributes
The CT findings of venous engorgement of the IVC and SMV, in conjunction with the significant reflux of contrast in tointo the IVC and the ascitiesascites, are suggestive of heart faliure, possiblepossibly secondary to myocarditis in view of the myocardiummyocardial hyper-enhancement.
Importantly, there is no thrombus within the IVC and the appearances of the inhomogeneous enhancement within the IVCit are a result of abnormal admixingmixing. This is partly due in-part to the increased venous pressures within the IVC.
An echocardiogram confirmed the diagnosis of acute myocarditis.
Case presented with Dr. Julian Hague FRCR Interventional Consultant UCLH
-<p>The CT findings of venous engorgement of the IVC and SMV, in conjunction with the significant reflux of contrast in to the IVC and the ascities, are suggestive of heart faliure, possible secondary to myocarditis in view of the myocardium hyper-enhancement.</p><p>Importantly, there is no thrombus within the IVC and the appearances of the inhomogeneous enhancement within the IVC are a result of abnormal admixing. This is due in-part to the increased venous pressures within the IVC.</p><p>An echocardiogram confirmed the diagnosis of acute myocarditis.</p><p>Case presented with Dr. Julian Hague FRCR Interventional Consultant UCLH</p>- +<p>The CT findings of venous engorgement of the IVC and SMV, in conjunction with the significant reflux of contrast into the IVC and the ascites, are suggestive of heart faliure, possibly secondary to myocarditis in view of the myocardial hyper-enhancement.</p><p>Importantly, there is no thrombus within the IVC and the inhomogeneous enhancement within it are a result of abnormal mixing. This is partly due to the increased venous pressures within the IVC.</p><p>An echocardiogram confirmed the diagnosis of acute myocarditis.</p><p>Case presented with Dr. Julian Hague FRCR Interventional Consultant UCLH</p>
Updates to Study Attributes
The IVC is enlarged with a significant amount ofcontrast reflux of contrast contained within. There is ascitiesascites throughout the abdomen and pelvis. There is engorgement of the SMV. Bilateral pleural effusions noted.
The CTPA was normal.
There is subtle hyper-enhancement of the wall of the left ventricle, with the Hounsfield units measuring ~98. The phasing of this scan is abnormal, due to the altered cardiac function, however the myocardium is rarely seen to enhance above ~65 units Hounsfield units.