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Case 275.

Jonathan Lyske1, Christopher Hutchinson1, Florin Manolea1

  • 1From the Department of Radiology and Diagnostic Imaging, University of Alberta, 8440-112 St, 2A2.41 WMC, Edmonton, AB, Canada T6G 2B7.

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A routine echocardiogram unexpectedly identified multiple liver lesions in a 61-year-old woman presenting with sinus tachycardia. Further CT scans were conducted to investigate these incidental findings.

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Area of Science:

  • Cardiology
  • Hepatology
  • Radiology

Background:

  • A 61-year-old woman presented with sinus tachycardia.
  • Routine echocardiography revealed incidental multiple liver lesions.
  • The patient had no prior history of cancer or liver disease.

Purpose of the Study:

  • To characterize incidental liver lesions found during cardiac work-up.
  • To investigate the etiology of unexplained liver lesions in an asymptomatic patient.

Main Methods:

  • Echocardiography for cardiac assessment.
  • Outpatient CT scan for detailed liver lesion characterization.

Main Results:

  • Echocardiography showed a normal heart.
  • Multiple liver lesions were incidentally detected.
  • Clinical examination and laboratory tests were normal.

Conclusions:

  • Incidental liver lesions can be discovered during cardiac investigations.
  • Further imaging is necessary to characterize unexpected findings.