August 2020 imaging case of the month: piecing together a cause for multisystem abnormalities

Abstract

No abstract available. Article truncated after 150 words. Clinical History: A 65-year-old woman with chronic hoarseness and dyspnea now presents with complaints of diarrhea and bloating. The patient indicated her dyspnea had developed over the previous year, now occurring after one flight of stairs. The patient also complains of some substernal burning after waling 2-3 blocks. Her past medical history was largely unremarkable, and her past surgical history included only a cesarean section and carpal tunnel surgery. She has no allergies and her medications included thyroxine, fluoxetine, and a steroid inhaler. She was a previous smoker for 8 years, quitting 30 years ago. Upon directed questioning, the patient also complains of generalized weakness and 13-14 lbs. weight loss in the previous year. Physical examination showed normal vital signs and was remarkable only for atrophy of the patient’s right calf muscles, which the patient claimed she knew about and had occurred over the previous year and a half. The …

Keywords

• amyloidosis
• pulmonary amyloidosis
• chest x-ray
• ct scan
• echocardiogram
• cardiac mri
• diagnosis
• cardiac amyloidosis
• dyspnea
• muscle atrophy