PMC10018021_01
Electrocardiogram recorded during an emergency presentation, showing frequent premature ventricular beats.
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The electrocardiograms were repeatedly showing ventricular arrhythmia, with frequent ventricular premature beats with monophocal pattern, sometimes organized in bigeminism or trigeminism (Figure 1).
A 24 h recording of electrocardiogram showing frequent premature ventricular beats with unique morphology, mimicking a right bundle branch block.
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Continuous 24-h ECG recording showed the presence of premature ventricular beats also outside the clinically manifest episodes (Figure 2).
Cardiac magnetic resonance: Hypertrophy localized at the base of the septum, T2 focal edema at the base of the septum, late gadolinium enhancement: homogenous late uptake of gadolinium in the granuloma.
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He interpreted the same images differently, describing the presence of focal edema at the base of the septum in T2 and granulomas with homogenous uptake of gadolinium at the base of the interventricular septum (Figure 3).
(A-D) HRCT of the lungs: multiple bilateral micronodules predominant in the upper lobes, increased infracarinal lymph nodes.
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The CT scan of the thorax showed multiple micronodules distributed mostly in the upper parts of the lungs, with a perilymphatic distribution, as well as moderately enlarged mediastinal lymph nodes (Figure 4).