60 years old/ Male/ Active smoker , current issue Acute Anteroseptal MI Killip II with LV thrombus complaining of worsening epigastric pain radiating to RIF post PICC insertion.
CTA Abdomen done on
Atherosclerosis changes with scattered thick mural calcifications of abdominal aorta, bilateral common iliac, and external iliac arteries. Good opacification demonstrated in abdominal aorta. The coeliac artery, main inferior mesentric artery (IMA) and its visualised branches and bilateral renal arteries (single right renal and left double renal arteries) are well opacified. No filling defect.
Liver is homogenously enhanced. Presence of branching small air pockets within the liver predominately at periphery of liver in keeping with pneumomatosis portalis.
Generalised degenerative changes. No suspicious bony lesions.
Case courtesy of Dr Vimala