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Chest pain at deep inspiration

    Author: Jean-François Paul, MD, Plessis-Robinson, France
    Body Region: Cardiovascular

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • A 39-year-old man without cardiovascular risk factors presented with chest pain that
      exacerbated at deep inspiration.

    • Electrocardiography showed a diffuse PQ depression in the anterior and lateral leads,
      suggesting pericarditis.

    • Laboratory tests indicated a slight elevation of troponins.
    • Coronary CT angiography indicated normal coronary arteries.
    • A low kilovoltage, delayed-phase CT acquisition, 5 minutes after a first-pass examination, was
      performed for further evaluation.
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