Presentation
Dyspnea on exertion and atypical chest pain.
Patient Data
Age: 20 years
Gender: Male
From the case:
Dilated cardiomyopathy
Frontal

The chest x-ray reveals globular enlargement of the cardiac shadow.

Tc-99m sestamibi cardiac perfusion study demonstrates dilated left ventricular cavity with global hypokinesis (not shown). Poor ejection fraction of 22% was calculated.
Case Discussion
Features are suggestive of dilated cardiomyopathy, which was confirmed upon reviewing the patient chart.