Dr. Pepe’s Diploma Casebook: Case 23 – SOLVED!

Diploma_casebook_case23

Dear Friends,

This week I’m showing the case of a 26-year-old male presenting with chest pain.


23 year-old male with chest pain

23 year-old male with chest pain

23 year-old male with chest pain

23 year-old male with chest pain

23 year-old male with chest pain

23 year-old male with chest pain

Most likely diagnosis:

1. Hypertrophic cardiomyopathy
2. Leiomyosarcoma
3. Cardiac rhabdomyoma
4. None of the above

Click here for the answer

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    9 Responses to : Dr. Pepe’s Diploma Casebook: Case 23 – SOLVED!

    1. Rasul says:

      Hypertrophic cardiomyopathy

    2. maria says:

      i believe it is likely to be a case of rhabdomyoma because leiomyosarcoma would be more heterogenous and hypertrophic cardiomyopathy would cause more diffuse thickening of the wall and would definetely affect the ventricle septum .

    3. genchi bari italia says:

      Non ho esperienza di Cardio-RM. Comunque, l’ispessimento di parete è localizzato, non interessando tutta la parete ventricvolare;esso inoltre è omogeneo nella sua intensità di segnale.Il soggetto è giovane: se ci sono gli altri segni della
      Sclerosi tuberosa di B., la diagnosi dovrebbe essere di rabdomioma.

      • Dr. Pepe says:

        One of the good things of these presentations is that you are exposed to new knowledge. Myself, I am learning with every case.

    4. Albert says:

      I also dont have any experience with cardioMRI, anyway I tried to get an idea a with the last case about it (cardiac amiloidosis) and reviewing the literature I got I would bet for asimetric septal hypertrophic cardiomyopathy.

    5. fuldem says:

      hypertrophic cardiomyopathy

    6. genchi Bari says:

      Grazie per il bel caso:ignoravo le forme focali di HCM e le possibilità della RM di stratificare il rischio di morte improvvisa( specie nello sport).PS : consolate il “galactico” professore per il suo Barcellona a Milano!

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