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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.
Insights
A routine echocardiogram for sinus tachycardia incidentally found liver lesions in a woman with no prior history. Further CT scans were needed to characterize these unexpected hepatic findings.
Area of Science:
- Cardiology
- Radiology
- Hepatology
Background:
- A 61-year-old woman presented with sinus tachycardia.
- Routine echocardiography was performed as part of the cardiac work-up.
Observation:
- Echocardiography incidentally revealed multiple liver lesions.
- The patient had no prior history of cancer or liver disease.
- Clinical examination and laboratory tests were normal.
Findings:
- Outpatient CT scan was performed to characterize the liver lesions.
- The etiology of the liver lesions remains to be determined.
Implications:
- Highlights the importance of incidental findings during cardiac imaging.
- Underscores the need for further investigation of unexpected hepatic lesions.
- Suggests potential for cross-disciplinary diagnostic challenges in clinical practice.
Abstract:
HistoryA 61-year-old woman presented to the cardiology service with sinus tachycardia. As part of her work-up, she underwent routine echocardiography that showed a normal heart but incidentally revealed multiple lesions in the liver. An outpatient CT scan was performed to characterize the liver lesions. The patient had emigrated to Canada from the Middle East several years earlier and had no medical history of note; in particular, there was no history of cancer or predisposing factors for chronic liver disease. The patient's clinical examination findings; laboratory test results, including complete blood count; and liver function test results were normal.
