Handran Chauncy B, Hurwitz Koweek Lynne M, Mammarappallil Joseph G
From the Department of Radiology, Duke University Hospital, 2300 Erwin Rd, DUMC Box 3808, Durham, NC 27710.
Radiology. 2019 Oct;293(1):232-234. doi: 10.1148/radiol.2019171769.
History A 47-year-old Sudanese man without a known remarkable medical history presented to the emergency department for a syncopal episode. The patient denied chest pain, dyspnea, focal weakness, or prior similar episodes. He was originally from north Sudan and eventually moved to Saudi Arabia, where he worked as a farm manager before emigrating to the United States years ago. Physical examination findings and routine laboratory values, including complete blood count and basic metabolic panels, were normal. Electrocardiography revealed nonspecific T-wave inversions, and a series of cardiac biomarkers were negative. A contrast material-enhanced CT angiography pulmonary embolism protocol and cardiac MRI were performed for further evaluation (Figs 1-4). [Figure: see text] [Figure: see text] [Figure: see text] [Figure: see text] [Figure: see text] [Figure: see text].
病史 一名47岁的苏丹男子，无已知显著病史，因晕厥发作就诊于急诊科。患者否认胸痛、呼吸困难、局部无力或既往类似发作。他原籍苏丹北部，最终移居沙特阿拉伯，多年前移民美国前在那里担任农场经理。体格检查结果及常规实验室检查值，包括全血细胞计数和基本代谢指标，均正常。心电图显示非特异性T波倒置，一系列心脏生物标志物均为阴性。为进一步评估，进行了对比剂增强CT血管造影肺栓塞方案检查和心脏磁共振成像（图1 - 4）。[图：见正文] [图：见正文] [图：见正文] [图：见正文] [图：见正文] [图：见正文]
