A 61-year-old male patient with a long history of cardiac failure and ventricular arrhythmias presented to the chest physicians with a persistent cough. On examination he was found to have basal crackles, and pulmonary function tests showed a slightly reduced transfer factor. A high resolution CT (HRCT) of the thorax, which is performed without intravenous contrast, was therefore arranged (Images 1a and b). The HRCT showed normal lung parenchyma but revealed an abnormality within the upper abdomen.
KeywordsVentricular Arrhythmia Pulmonary Function Test Intravenous Contrast Chest Physician Persistent Cough