case_images: PMC11694664_01
case_images: (A) Four-chamber view showing pronounced left ventricle hypertrophy. (B) Strain analysis with apical sparing.
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case_images: Additionally, echocardiography shows granular sparkling texture and strain analysis indicates 'apical sparing' (Figure 1A and B).
case_images: Perugini Grade II in the technetium-99m-diphosphono-1,2-propandicarbonacid scan.
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case_images: (A) Masson trichrome staining of the myocardium, amyloid purple. (B) Congo red staining of the myocardium, amyloid red. (C) Immunohistochemical detection of transthyretin in myocardium.
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case_images: Thus, the patient qualifies for tafamidis therapy but not chemotherapy (Figure 3A-C).
case_images: Computed tomography chest with a pleural effusion on the right side.
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case_images: Upon admission, a significant right-sided pleural effusion is observed (Figure 4).
case_images: Lymphangiography with ethiodized oil, which leaks in the shape of small balls in the right lung.
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case_images: Approximately 20 min later, a leak is observed in the right lung, confirming the diagnosis of chylothorax (Figure 5).