PMC7238366_01
Chest wall chondrosarcoma on prior CT scan. CT scan of chest wall chondrosarcoma in (a) transverse and (b) sagittal planes marked by asterisks.
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His history was significant for high-grade dedifferentiated chest wall chondrosarcoma involving the left ribs that was resected three years earlier (Figures 1(a) and 1(b)).
Initial coronary angiogram of left coronary system. Coronary angiogram showing the stenotic lesion in the (a) left internal mammary artery (LMCA) and first diagonal branch (D1) and (b) IVUS of LMCA lesion showing significant plaque (noted by yellow asterisks).
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Coronary angiogram showed significant LMCA stenosis extending into the ostial segment of the LAD artery with 90% stenosis, which was further evaluated by intravascular ultrasound (IVUS) noting significant plaque (Figures 2(a) and 2(b)).
Coronary angiogram of internal mammary arteries. Coronary angiogram of the (a) left internal mammary artery (LIMA) and the (b) right internal mammary artery (RIMA) coming just off of the right brachiocephalic artery (BCA).
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Given the patient's history of chest radiation therapy, angiography of the internal mammary arteries was performed and demonstrated diminutive, possibly occluded vessels (Figures 3(a) and 3(b)).