PMC8498672_01
electrocardiogram (EKG) showing ST segment elevation with Q waves in the anterior leads
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F1
Diagnostic assessment: the electrocardiogram revealed ST segment elevation with Q waves in the anterior leads (Figure 1).
echocardiography: modified apical view showing an echolucent well defined space (70 x 66 mm) next both right and left atrium
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F2
Transthoracic echocardiography revealed apex, anterior, and anterolateral wall akinesia, with a left ventricular ejection fraction of 37% (Figure 2), modified apical 4-chamber view unexpectedly revealed a well-circumscribed and homogeneous echolucent mass with a diameter of 70 x 66 mm next to both right and left atriums, which lacked color by Doppler.
chest X-ray showing homogenous density in the right cardiophrenic angle and trachea deviation
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F3
Chest X-ray revealed a homogenous density in the right cardiophrenic angle and trachea deviation (Figure 3) and chest computed tomography confirmed the presence of a pleuropericardial cyst with a diameter of 79 x 66 mm in the right cardiophrenic angle adjacent to both atriums (Figure 4).
chest CT-scan showing pleuropericardial cyst with 79 x 66 mm at diameter
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F4
Chest X-ray revealed a homogenous density in the right cardiophrenic angle and trachea deviation (Figure 3) and chest computed tomography confirmed the presence of a pleuropericardial cyst with a diameter of 79 x 66 mm in the right cardiophrenic angle adjacent to both atriums (Figure 4).
coronarography angiography showing multiple severe stenosis in the left and right coronary arteries
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F5
As the electrocardiogram (EKG) revealed that the patient had a myocardial infarction, coronary angiography was performed, which revealed tri-troncular coronary lesions (Figure 5).