PMC5067381_01
Pictures of ECGs: (A) at admission and (B) after 2 days.
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Electrocardiogram (ECG) revealed ST-segment elevation in anterolateral leads (Fig. 1A) and strongly positive cardiac enzymes. Her ST-changes became normal on ECG (Fig. 1B).
Coronary angiogram images showing widely patent coronary arteries.
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This showed widely patent coronary arteries (Fig. 2).
USG abdomen image showing well-defined mass lesion near the hilum of left kidney.
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Ultrasound abdomen revealed a well-defined mass lesion near the hilum of left kidney (Fig. 3).
Contrast-CT Abdomen: transverse and coronal films showing well defined, well enhancing left paraaortic retroperitoneal mass lesion.
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Contrast-enhanced CT scan of abdomen revealed well defined, well enhancing left paraaortic retroperitoneal mass lesion inferior to the level of left renal vessels (probably paraganglioma?) (Fig. 4).
Fusion Images of Ga-68 Dotanoc and FDG PET scan & CT scan showing the FDG avid Paraaortic mass in left paraaortic region.
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She underwent Gallium-68 Dotanoc and 18-fluoro-2-deoxyglucose (FDG) Positron Emission Tomographic (PET) scan which revealed a FDG avid mass lesion in left paraaortic region (Fig. 5) and confirmed the diagnosis of left paraaortic paraganglioma.