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Image challenge
Adolescent female patient with menorrhagia
  1. Matthew Potter,
  2. Hanzhou Li,
  3. Jayanth Keshavamurthy
  1. Department of Radiology, Augusta University Medical College of Georgia, Augusta, Georgia, USA
  1. Correspondence to Matthew Potter, Augusta University Medical College of Georgia, Augusta, Georgia, USA; mpotter{at}

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Clinical introduction

An adolescent female patient presented for cardiology follow-up as well as worsening menorrhagia. A review of her medications revealed she has been on chronic prophylaxis for prevention of arterial thrombosis since childhood, likely now exacerbating her menorrhagia. A chest radiograph (figure 1A,B) and subsequent cardiac computed tomography angiography (CTA) were obtained (figure 1C and online supplementary video).

Supplemental material

Figure 1

(A,B) Chest X-ray and (C) cardiac computed tomography angiography.


What childhood diagnosis is most commonly associated with the imaging findings of this patient?

  1. Kawasaki disease. …

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  • Contributors MP, HL and JK contributed equally to the preparation and writing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Detail has been removed from this case description/these case descriptions to ensure anonymity.

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