PMC7793920_01
CT scan with extensive retroperitoneal adenopathy.
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F1
A CT of the chest, abdomen and pelvis with contrast (Figure 1) revealed extensive retroperitoneal adenopathy with the largest conglomerate of lymph nodes at the level of the renal hila measuring 6.5 x 3.7 cm with resultant severe left hydroureteronephrosis.
Gallium-68 dotatate PET/CT scan demonstrating avidity in the left ventricular myocardium.
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F2
First EKG (11/12/18).
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F3
An electrocardiogram (ECG) initially revealed normal sinus rhythm, as pictured in Figure 3.
Second EKG (4/14/19).
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F4
A repeat EKG (Figure 4) revealed lower voltage complexes in comparison to her initial EKG as well as worsening prolongation of the QRS, indicating progressive infiltrative disease.