ABSTRACT
Las manifestaciones clínicas de las masas cardíacas suelen ser inespecíficas y, generalmente, dependen más de la repercusión funcional que generan por su localización que de su naturaleza. Las técnicas de imagen nos permiten limitar el diagnóstico diferencial de las masas cardíacas considerando su localización, morfología y características de ecogenicidad, atenuación o intensidad según la técnica empleada. Presentamos el caso de una mujer con dolor centrotorácico opresivo irradiado a la espalda y marcadores miocárdicos positivos, a la que un ecocardiograma detectó una masa en la aurícula izquierda. El hallazgo se confirmó posteriormente con una tomografía computarizada torácica. La semiología en la TC era compatible con un hematoma mural, que se confirmó con una biopsia intraoperatoria (AU)
The clinical signs of heart masses tend to be nonspecific, generally depending more on their repercussions on heart function caused by their location rather than on their type. Imaging techniques make it possible to limit the differential diagnosis of heart masses based on their location, morphology, and characteristics of echogenicity, density, or intensity, depending on the technique used to study them. We present the case of a woman with squeezing mid chest pain irradiating to her shoulder and positive cardiac markers in whom a left atrial mass was identified at echocardiography. This finding was confirmed at chest CT. The signs at chest CT were compatible with a mural hematoma and this diagnosis was confirmed after intraoperative biopsy (AU)
Subject(s)
Humans , Female , Middle Aged , Multidetector Computed Tomography/instrumentation , Multidetector Computed Tomography/methods , Multidetector Computed Tomography , Hematoma/complications , Hematoma , Multidetector Computed Tomography/trends , Diagnosis, Differential , Chest Pain/complications , Chest Pain/etiology , Chest Pain , Electrocardiography/methods , Electrocardiography/trendsABSTRACT
The clinical signs of heart masses tend to be nonspecific, generally depending more on their repercussions on heart function caused by their location rather than on their type. Imaging techniques make it possible to limit the differential diagnosis of heart masses based on their location, morphology, and characteristics of echogenicity, density, or intensity, depending on the technique used to study them. We present the case of a woman with squeezing mid chest pain irradiating to her shoulder and positive cardiac markers in whom a left atrial mass was identified at echocardiography. This finding was confirmed at chest CT. The signs at chest CT were compatible with a mural hematoma and this diagnosis was confirmed after intraoperative biopsy.
Subject(s)
Heart Atria , Heart Diseases/diagnostic imaging , Hematoma/diagnostic imaging , Tomography, X-Ray Computed , Aged , Female , HumansABSTRACT
Conocer el diagnóstico diferencial de los tumores articulares y periarticulares y las alteraciones en la resonancia magnética (RM) que pueden sugerir su diagnóstico es importante porque la mayoría se presentan como una monoartritis crónica con signos, síntomas y alteraciones en las pruebas de laboratorio inespecíficas. La RM define el origen anatómico y las características tisulares de los tumores articulares y periarticulares y permite realizar un diagnóstico específico en la mayoría de los casos. Es importante analizar los hallazgos de la RM junto a los de la radiografía porque ayuda a caracterizar los tumores mineralizados (AU)
Most patients with articular or periarticular tumors present with chronic monoarthritis and nonspecific alterations on laboratory tests; thus, it is important to know the changes on magnetic resonance imaging (MRI) that can suggest their diagnosis and the differential diagnosis of these tumors. MRI defines the anatomic origin and the tissue characteristics of articular and periarticular tumors, making it possible to reach a specific diagnosis in most cases. It is important to evaluate the MRI findings together with the plain-film findings because this helps in the characterization of mineralized tumors (AU)
Subject(s)
Humans , Male , Female , Middle Aged , Soft Tissue Neoplasms , Bone Cysts , Bone Neoplasms/classification , Bone Neoplasms , Joints/pathology , Joints , Diagnosis, DifferentialABSTRACT
Most patients with articular or periarticular tumors present with chronic monoarthritis and nonspecific alterations on laboratory tests; thus, it is important to know the changes on magnetic resonance imaging (MRI) that can suggest their diagnosis and the differential diagnosis of these tumors. MRI defines the anatomic origin and the tissue characteristics of articular and periarticular tumors, making it possible to reach a specific diagnosis in most cases. It is important to evaluate the MRI findings together with the plain-film findings because this helps in the characterization of mineralized tumors.
Subject(s)
Bone Neoplasms/diagnosis , Joint Diseases/diagnosis , Magnetic Resonance Imaging , Muscle Neoplasms/diagnosis , Adult , Aged , Aged, 80 and over , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Young AdultABSTRACT
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