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38-year-old female with history of sickle cell disease presents with chest pain.
Chest X-ray shows cardiomegaly with left ventricular and left atrial enlargement and mild elevation of the end diastolic pressure characterized by cephalization of the vasculature,

CHF LEFT ATRIAL ENLARGEMENT AND LV  ENLARGEMENT
Ashley Davidoff MD

LEFT ATRIAL ENLARGEMENT , LV  ENLARGEMENT  AND BONE INFARCTION
Ashley Davidoff MD

The CT scan confirms left atrial enlargement, auto splenectomy with a small calcified spleen, sclerotic changes in the vertebrae and sternum, and H shaped vertebra characteristic of sequelae of bone infarction.

LEFT ATRIAL ENLARGEMENT –  SICKLE CELL DISEASE CARDIOMEGALY AUTO SPLENECTOMY AND BONE INFARCTION

Ashley Davidoff MD

 

AUTO SPLENECTOMY  –  SICKLE CELL DISEASE CARDIOMEGALY AUTO SPLENECTOMY AND BONE INFARCTION
Ashley Davidoff MD
H SHAPED VERTEBRA AND SCLEROTIC BONE CHANGES FROM INFARCTION  – SICKLE CELL DISEASE CARDIOMEGALY AUTO SPLENECTOMY AND BONE INFARCTION

Ashley Davidoff MD

 

References and Links

Sickle Cell Disease Wiki