Case of the Month, Cardiac: April, 2011
History: A 78-year-old female presented with severe acute non-pleuritic, substernal chest pain. ECG and cardiac enzymes were normal.
A coronary CT angiogram was performed.
( Click here for larger image. )

( Click here for larger image. )

What’s your diagnosis?
- Superior vena cava thrombosis
- Pulmonary embolism
- Aortic dissection and rupture
- Acute myocardial infarction
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