Left ventricular aneurysm
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Focal lateral bulge of the left heart border with elevation and lateral displacement of the cardiac apex. Increased cardiothoracic ratio.
Single lead implantable cardioverter-defibrillator (ICD) and sternal wires noted.
Appearance is typical of a LV aneurysm. The patient had a long and complex cardiac history including a previous anterolateral acute myocardial infarct 18 months prior. Echo confirmed a large true aneurysm with a large hypokinetic segment.