An x-ray of an asymptomatic 64- year-old male executive coming in for his regular annual medical checkup. He had an anterior Q wave MI 4 years ago. What is your diagnosis?: (A) calcific pericarditis, (B) left ventricular aneurysm, (C) hydatid cyst, (D) pleuropericarditis
Answer is B. (b) Source: (Fuster, pp. 1321-1322)Note the abnormal humped contour of the left ventricular border, with a curvilinear calcification following the abnormal cardiac contour. The presence of calcification in the ventricular wall and the abnormal left ventricular contour alerts one to the consideration of a ventricular aneurysm.