past medical history: Ischemic cardiomyopathy, chronic atrial fibrillation, hypertension,  percutaneous coronary intervention (PCI) for coronary artery disease, and hypothyroidism

previous echocardiography: Mildly dilated LV with severe systolic dysfunction, akinesia of LAD territory, and an ejection fraction of 20-25%. Moderate mitral stenosis & mitral regurgitation, mild to moderate aortic valve regurgitation, and mild tricuspid regurgitation

due to her age and multiple risk factors, mitral regurgitation was treated with Mitraclip device

CT chest was requested to rule out any central airway abnormality, as the cause of her respiratory distress