Kathleen E. Carey MD, Presenter: Nothing to Disclose

PURPOSE/AIM: 1. Present a representative spectrum of incidental cardiovascular findings that are increasingly demonstrated on non-cardiac computed tomography. 2. Discuss potential/artifactual mimics of true pathology that can lead to unnecessary workup. 3. Present some practical tips for differentiating true cardiac pathology, and discuss appropriate “next steps” for some of the more common findings.

CONTENT ORGANIZATION -Highlight the prevalence of cardiovascular disease, and importance. -Review examples of incidental cardiovascular findings on non-gated computed tomography and contrast with artifacts which may simulate disease, and suggest approaches for further workup. 1. Ischemic heart disease: a. Acute infarction b. Chronic infarction and LV aneurysm and LV thrombus c. Coronary aneurysm 2. Non-ischemic myocardial disease a. Hypertrophic cardiomyopathy b. Amyloidosis 3. Valve disease a. Mitral Prolapse b. Bicuspid aortic valve c. Sinus of Valsalva aneurysm 4. Shunts a. Atrial and ventricular septal defects b. Anomalous pulmonary venous return 5. Pericardial disease a. Acute Pericarditis b. Constrictive Pericarditis 6. Cardiac/paracardiac masses a. Benign b. Malignant

http://abstract.rsna.org/uploads/2014/14001431/14001431_85ev.pdf

Carey, K, Incidental Cardiac Findings on Non-gated Computed Tomography: Pearls and Pitfalls..  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14001431.html