Case of the Month, Cardiac: April, 2011

History: A 78-year-old female presented with severe acute non-pleuritic, substernal chest pain. ECG and cardiac enzymes were normal.

A coronary CT angiogram was performed.

(Click here for larger image.)

(Click here for larger image.

What’s your diagnosis?

  1. Superior vena cava thrombosis
  2. Pulmonary embolism
  3. Aortic dissection and rupture
  4. Acute myocardial infarction
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