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Updated: Jul 2, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Incidental cardiac and pericardial abnormalities on chest CT
Soo-Hyun Lee1, Joon Beom Seo, Joon-Won Kang
1Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Radiologists can find cardiac and pericardial diseases on non-gated chest CT scans. Recognizing these incidental findings on computed tomography (CT) is crucial for early diagnosis and management.
Area of Science:
- Radiology
- Cardiology
- Medical Imaging
Background:
- Electrocardiogram-gated cardiac computed tomography (CT) is increasingly used for cardiac diagnoses.
- Conventional, non-gated chest CT scans often reveal incidental cardiac and pericardial abnormalities.
- These incidental findings are frequently overlooked by radiologists.
Purpose of the Study:
- To describe the imaging appearance of cardiac and pericardial diseases incidentally detected on non-gated chest CT.
- To highlight the clinical significance of these overlooked cardiac findings.
- To emphasize the importance of recognizing cardiac abnormalities during chest CT evaluations.
Main Methods:
- Review of non-gated chest CT scans.
- Identification and characterization of incidental cardiac and pericardial abnormalities.
- Correlation with clinical data and patient outcomes.
Main Results:
- Detailed descriptions of various cardiac and pericardial pathologies found on chest CT.
- Examples of common and uncommon incidental cardiac findings.
- Discussion of the clinical implications and diagnostic value of these findings.
Conclusions:
- Incidental cardiac and pericardial abnormalities are detectable on non-gated chest CT.
- Early recognition of these findings is vital for timely diagnosis and appropriate patient management.
- Chest CT serves as a valuable tool for detecting a range of cardiac and pericardial diseases beyond its primary indication.
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