title: Incidental myocardial infarct on conventional nongated CT: a review of the spectrum of findings with gated CT and cardiac MRI correlation.
abstract: OBJECTIVE
  Myocardial infarctions (MIs) are frequently evident on routine chest or abdominal CT, even when studies are not performed for cardiac-specific indications. However, the telltale signs of an MI may be easily overlooked. Herein, we present the spectrum of appearances of MIs, including areas of fat attenuation, myocardial calcifications, focal areas of wall thinning or aneurysm formation, and perfusion abnormalities. Thrombi, especially when present at the apex of the left ventricle, may also suggest an MI.
  
  
  CONCLUSIONS
  The increased use of CT in the evaluation of patients for a variety of indications gives the radiologist the unique opportunity to recognize findings consistent with MI in patients who may not have a prior diagnosis of ischemic heart disease.
authors.affiliation: South Sound Radiology, 4217 Ensign Rd NE, Olympia, WA 98506, USA. jshriki@gmail.com
authors.forename: Jabi E
authors.initials: JE
authors.lastname: Shriki
authors.forename: Jerold
authors.initials: J
authors.lastname: Shinbane
authors.forename: Christopher
authors.initials: C
authors.lastname: Lee
authors.forename: Abdur R
authors.initials: AR
authors.lastname: Khan
authors.forename: Natalie
authors.initials: N
authors.lastname: Burns
authors.forename: Antereas
authors.initials: A
authors.lastname: Hindoyan
authors.forename: Alison
authors.initials: A
authors.lastname: Wilcox
mesh_terms: D002114:Calcinosis / Q000000981:diagnostic imaging / Q000473:pathology; D055424:Cardiac-Gated Imaging Techniques / Q000379:methods*; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000473:pathology; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D033162:Incidental Findings; D008068:Lipomatosis / Q000000981:diagnostic imaging / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008679:Metaplasia; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods*