R adiology C ase of the M onth Abnormally Dilated Arteries in an Asymptomatic Male
Christian Mabry, MD; Gretchen Yandle, MD; Jen Erbil, MD; Kyle Happel, MD, FCCP; Harold R. Neitzschman, MD
A 61-year-old male with a past medical history of chronic, uncontrolled hypertension received a non-con- trasted computed tomogram (CT) of the chest and abdomen to investigate for possible Conn syndrome. This noncontrast study showed some areas of nodularity around the vertebral bodies bilaterally and extending into the posterior mediastinal region. A CT of the chest with intravenous contrast, and 3D reconstruction were then obtained.
Figure 1: (left) Axial CT image after nonionic intravenous contrast.
Figure 2: (right) Sagittal CT image after nonionic intravenous contrast.
Figure 3: (left) Coronal CT image after nonionic intravenous contrast. Figure 4: (right) 3D reconstruction of the heart and its vessels.
What is your diagnosis?
Elucidation is on p. 222
J La State Med Soc VOL 166 September/October 2014 221
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