The American Journal of Medicine
Volume 122, Issue 6 , Pages 543-549 , June 2009

Significance of Cardiac Computed Tomography Incidental Findings in Acute Chest Pain

  • Sam J. Lehman, MBBS, FRACP

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • Flinders University Department of Cardiology, Adelaide, Australia
    • ,
  • Suhny Abbara, MD

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • Massachusetts General Hospital Department of Radiology, Boston, Massachusetts
    • ,
  • Ricardo C. Cury, MD

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • Massachusetts General Hospital Department of Radiology, Boston, Massachusetts
    • ,
  • John T. Nagurney, MD, MPH

      Affiliations

    • Massachusetts General Hospital Department of Emergency Medicine and Harvard Medical School, Boston, Massachusetts
    • ,
  • Joe Hsu, MD

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • Massachusetts General Hospital Department of Radiology, Boston, Massachusetts
    • ,
  • Aashish Goela, MD

      Affiliations

    • Massachusetts General Hospital Department of Radiology, Boston, Massachusetts
    • ,
  • Christopher L. Schlett, BS

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • ,
  • Jonathan D. Dodd, MD

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • Massachusetts General Hospital Department of Radiology, Boston, Massachusetts
    • ,
  • Thomas J. Brady, MD

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • Massachusetts General Hospital Department of Radiology, Boston, Massachusetts
    • ,
  • Fabian Bamberg, MD, MPH

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • Massachusetts General Hospital Department of Radiology, Boston, Massachusetts
    • ,
  • Udo Hoffmann, MD, MPH

      Affiliations

    • Massachusetts General Hospital Cardiac MR PET CT Program and Harvard Medical School, Boston, Massachusetts
    • Massachusetts General Hospital Department of Radiology, Boston, Massachusetts
    • Corresponding Author InformationRequests for reprints should be addressed to Udo Hoffmann, MD, MPH, Cardiac MR PET CT Program, Massachusetts General Hospital and Harvard Medical School, 165 Charles River Plaza, Suite 400, Boston, MA 02114

  • Image Result

    Pulmonary incidental findings. A, Nine-millimeter noncalcified pulmonary nodule (arrow) in the right lower lobe. Biopsy of this lesion demonstrated adenocarcinoma. B, Patchy areas of opacity (circles)

    Pulmonary incidental findings. A, Nine-millimeter noncalcified pulmonary nodule (arrow) in the right lower lobe. Biopsy of this lesion demonstrated adenocarcinoma. B, Patchy areas of opacity (circles) in the lingual and superior segment of the left lower lobe, suggestive of bronchopneumonia. C, Pneumothorax with the lung borders (arrows).

  • Image Result
    Nonpulmonary incidental findings. A, Aneurysm of the descending thoracic aorta, measuring 41 mm in short axis. B, Right anterior mass of the chest wall (arrows). The mass was histologically classified

    Nonpulmonary incidental findings. A, Aneurysm of the descending thoracic aorta, measuring 41 mm in short axis. B, Right anterior mass of the chest wall (arrows). The mass was histologically classified as hypertrophied internal thoracic muscle after biopsy. C, Thyroid mass (arrowheads) in a patient with coronary bypass grafts. Biopsy of the lesion demonstrated follicular carcinoma. D, Contrast-enhancing lesion of the right lobe of the liver (circle).

 Funding: Dr Lehman is supported by grants from the National Heart Foundation of Australia and the Royal Australian College of Physicians.

 Conflict of Interest: None.

 Authorship: All authors had access to the data and played a role in writing.

PII: S0002-9343(08)01263-1

doi: 10.1016/j.amjmed.2008.10.039

The American Journal of Medicine
Volume 122, Issue 6 , Pages 543-549 , June 2009

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