Amyloidosis

Images by Genevieve Carbonatto

Parasternal long axis, (PLAX) of the left ventricle showing thickened LV walls and reduced ejection fraction.

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Measurements of the interventricular septum, (IVS) and LV infero-lateral (posterior) wall (LVPW) should be measured in a straight line across the minor axis of the LV. The measurements should be performed at end diastole, the frame at or just prior to mitral valve closure. However in this case , the walls are clearly thickened , both the inetrerventricular septum (IVS) and the posterior LV wall being over 2cm in thickness.

Parasternal short axis view at the papillary level showing thickened walls with reduced contractility.  The IVS is also flattened throughout the cardiac cycle consistent with pulmonary hypertension. A trivial circumferential pericardial effusion is seen.

Off axis Apical 4-chamber view showing dilated right heart.

Longitudinal Left Upper quadrant showing ascities and a pleural effusion above the diaphragm.

Longitudinal Left Upper quadrant showing ascities and a pleural effusion above the diaphragm.

 

 

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