ABSTRACT
A 31-year-old obese male presented to the emergency department with symptoms and signs suggestive of a viral upper respiratory tract illness with a background of low exercise tolerance. Rib notching was identified on plain film chest radiography and subsequent CT of the thorax identified a moderately tight 2-mm juxta-ductal co-arctation of the aorta with multiple enlarged chest wall collaterals. The patient underwent a two-stage percutaneous procedure involving stent insertion and angioplasty up to 16 mm with significant improvement in exercise capacity and a modest reduction in blood pressure.
Subject(s)
Aortic Coarctation/diagnostic imaging , Aortic Coarctation/surgery , Adult , Angioplasty, Balloon, Coronary , Diagnosis, Differential , Electrocardiography , Humans , Incidental Findings , Male , Obesity/complications , Radiography, Thoracic , Ribs/diagnostic imaging , Stents , Tomography, X-Ray ComputedABSTRACT
The authors present a case of lupus mastitis which was initially diagnosed following an incisional biopsy of a breast lump, with similar pathology found 2 years later after an ultrasound guided biopsy of the same lump. The woman had been diagnosed 7 years before with systemic lupus erythematosus. The radiological and pathological features are presented in this report with discussion of similar cases in the literature.
