2015 OSU Chest

Question 1

Mondor Disease etiology

Answer 1

Discussion:

• Thrombosed, thickened vein
• Both brasts equally affected, usually unilat
• Most commonly involves upper outer
• Thoracoepigastric, lateral thoracic, or superior epigastric veins

Question 2

Takotsubo cardiac MR appearance

Answer 2

Apical ballooning.

Question 3

MR cardiac delay is how long?

Answer 3

At least 5 min so you don’t underestimate an area of ischemia.
-T1WI are acquired 5-30 mons after contrast agent infusion.

Question 4

ARVD MRI appearance

Answer 4

Cardiac MRI is the most sensitive diagnostic imaging modality.

Major cardiac MRI diagnostic criteria are:

regional RV akinesia or dyskinesia or dyssynchronous RV contraction and 1 of the following:
ratio of RV end-diastolic volume to BSA ≥110 mL/m2 (male) or ≥100 mL/m2 (female)
RV ejection fraction ≤40%

Minor cardiac MRI diagnostic criteria are:

regional RV akinesia or dyskinesia or dyssynchronous RV contraction and 1 of the following:
ratio of RV end-diastolic volume to BSA ≥100 to <110 mL/m2 (male) or ≥90 to <100 mL/m2 (female)
RV ejection fraction >40% to ≤45%