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Suspected left ventricular hypertrophy and slightly reduced left ventricular function in a patient with multiple myeloma

    Author: Christian Loewe, Vienna, Austria
    Body Region: Cardiovascular

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    3.1 Additional Information
    4. Diagnosis
    5. References
    Photon-counting CT angiography showing coronary calcium scoring and RCA stenosis in a patient with multiple myeloma and suspected cardiac amyloidosis.

    1. Patient Presentation

    • A 57-year-old man with a history of kappa light-chain multiple myeloma was found to have mild left ventricular (LV) hypertrophy and a slightly reduced LV function on echocardiography.
    • In addition to multiple myeloma, the patient had several cardiovascular risk factors, including a history of smoking, hypertension, and mild hypercholesterolemia.
    • Cardiac CT was therefore performed to assess for the presence of coronary artery disease and investigate possible cardiac amyloidosis as a potential cause of the left ventricular hypertrophy.
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