The IVC is enlarged with a significant contrast reflux. There is ascites 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.