PMC7336494_01
CT chest on admission showed SVC thrombus that extended to involve the brachiocephalic vein
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Fig1
With the suspicion of superior vena cava syndrome in mind, the patient subsequently underwent CT angiogram that confirmed the presence of SVC thrombosis that extended to involve the brachiocephalic vein (Fig. 1).
Self-captured photo for prior oral ulcer
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Fig2
Upon further detailed history taking, the patient reported having mouth ulcers that used to erupt whenever he had a sore throat (Fig. 2).
Photo of psudo-folliculitis lesion
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Fig3
He also reported unusual papules in his legs that matched the description of pseudofolliculitis (Fig. 3).
Multiple Sections through CMR revealing normal myocardium with no evidence of endomyocardial fibrosis or scarring
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Fig4
Three days after the initiation of steroids, the patient continued to report significant improvement in his symptoms, he eventually underwent cardiac MRI that revealed an improvement of his EF to 52% with no evidence of myocardial scarring or fibrosis (Fig. 4).