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Cardiac CT Practice Cases

Content Reviewed: February 16, 2025

Fellowship Cases

Practice Cases are available for purchase in Medality's Fellowship Certificate™ Programs

Fellowship Certificate™ programs are designed to help you become a faster, more confident reader in a subspecialty area. Practice on real-world cases, read alongside the experts, view Gold Standard Reports, and earn CME all on your own schedule. Available for purchase, prices vary.

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71 CME

52 DICOM Case Files

53 Videos

45 Practice Reports

163 Quiz Questions

7 hr. 33 min.

Course Description

Welcome to the Cardiac CT Practice Cases course!

In this course, you’ll be presented with a series of worklists, comprised of high-yield cases selected by top radiology experts for you to practice your interpretation and reporting skills.

You must complete all topics in this course to receive your Fellowship Certificate. Access Full Fellowship Certificate Program Here

This Practice Cases Course includes:

Practice cases - work through each case in our simulated case review module. Review the DICOM file(s) in our cloud-based viewer, write or dictate your report, answer the quiz question(s), and then compare your report to a gold standard report written by expert faculty.

Review topics - review faculty instructional materials, including expert case review videos, case discussions, key images, and references.

With each practice case question you complete, you’ll receive an updated Cardiac CT Mastery Score to monitor your ongoing performance improvement.

Once you complete all topics in this course, return to the Fellowship Certificate Program page here to claim your Certificate of Completion.

Contact us at support@medality.com with any questions or feedback about the program.

Welcome to the Cardiac CT Practice Cases course!

In this course, you’ll be presented with a series of worklists, comprised of high-yield cases selected by top radiology experts for you to practice your interpretation and reporting skills.

Faculty

Giovanni E. Lorenz, DO

Cardiothoracic Radiologist

San Antonio Military Health System (SAMHS)

Emilio Fentanes, MD

Director of Cardiac Imaging, Department of Cardiology

Brooke Army Medical Center

0 / 1 Unit

Welcome

Optimal Use of Ambra to Review Coronary CT Cases in this Course

0 / 5 Cases

Worklist 1

1-1

A 38-year-old male presents with a history of mitral valve prolapse with intermittent chest pain with increased physical exertion. Treadmill stress test equivocal with limiting chest pain but normal ECG with stress. Coronary CT angiogram was ordered for further risk stratification.

1-2

A 70-year-old male presents with a history of recurrent probable cardiac chest pain.

1-3

A 52-year-old female presents with a history of coronary artery disease status post CABG, hypertension, mixed hyperlipidemia and spontaneous coronary artery dissection of the left main to LAD and LCX, with worsening chest pain.

1-4

A 47-year-old male presents with a history of prior tobacco use. New onset intermittent substernal chest pain with increased physical exertion. Coronary CT angiogram was ordered for further risk stratification.

1-5

A 49-year-old male presents with a history of hyperlipidemia and family history of early coronary artery disease. New onset of chest pain with exertion.

0 / 5 Cases

Worklist 2

2-1

A 53-year-old male presents with a history of mitral valve regurgitation with repair and paroxysmal atrial fibrillation. Request for Cardiac CT to assess pulmonary vein anatomy prior to planned pulmonary vein isolation.

2-2

A 58-year-old male presents with a history of intermittent chest pain with exertion. There is family history of early coronary artery disease with his father having a myocardial infarction at the age of 65 years.

2-3

A 68-year-old male presents with a history of recurrent chest pain. Stress test equivocal with ST-T wave changes suggestive of ischemia at peak exercise but no evidence of ischemia on SPECT imaging.

2-4

A 61-year-old male presents with recurrent chest pain and abnormal resting ECG.

2-5

A 66-year-old male with exertional chest pain. History of hypertension, mixed hyperlipidemia, and diabetes mellitus type 2.

0 / 5 Cases

Worklist 3

3-1

A 17-year-old male presents with a history of Kawasaki disease two years prior with non-diagnostic echocardiogram for involvement of the coronary arteries. Evaluation requested to assess candidacy for military enlistment.

3-2

A 65-year-old male presents with a history of hyperlipidemia and tobacco use and complains of new onset of chest pain with exertion. Family history of early coronary artery disease.

3-3

A 65-year-old female presents with a history of diabetes, hypertension, and paroxysmal atrial fibrillation. Request for cardiac CT to assess pulmonary vein anatomy prior to planned pulmonary vein isolation.

3-4

A 54-year-old female presents with a history of hypertension presents with new onset of chest pain with exertion. Family history of early coronary artery disease.

3-5

A 53-year-old male presents with a history of mixed hyperlipidemia and hypertension presenting with recurrent chest pain and an abnormal stress myocardial perfusion scan.

0 / 5 Cases

Worklist 4

4-1

A 49-year-old male presents with a history of tobacco use, hypertension, and mixed hyperlipidemia with new onset of chest pain.

4-2

A 56-year-old female presents with chest pain and detectable high sensitivity troponin.

4-3

A 58-year-old male presents with a history of hypertension, mixed hyperlipidemia, and chest pain with exertion.

4-4

A 48-year-old male presents with a history of chest pain and mixed hyperlipidemia.

4-5

A 32-year-old male presents with recent abnormal ECG and echocardiogram.

0 / 5 Cases

Worklist 5

5-1

A 41-year-old male presents with chest pain. Family history of early coronary artery disease with myocardial infarction in his mother at 55 years of age.

5-2

A 52-year-old male presents with a history of hypertension, aortic valve stenosis hyperlipidemia undergoing perioperative evaluation for aortic valve surgery.

5-3

A 58-year-old male presents with shortness of breath with exertion. Resting regadenoson myocardial perfusion SPECT revealed inconclusive findings of reversible ischemia on the basal to mid anterolateral segments versus possible wall attenuation artifact.

5-4

A 64-year-old female presents with a history of aortic valve regurgitation and aortic root aneurysm status post prior cardiac surgery experiencing symptoms of chest pain and shortness of breath with activity.

5-5

A 55-year-old male presents with a history of hypertension, mixed hyperlipidemia, and chest pain with exertion. Disclaimer about missing slices: Several axial slices are absent due to a technical error during scan acquisition. Despite this limitation, the primary finding is fully captured and adequately imaged.

0 / 5 Cases

Worklist 6

6-1

A 35-year-old male presents with a recent abnormal ECG and echocardiogram with evidence of right ventricular dilatation, persistent shortness of breath, and chest pain.

6-2

A 58-year-old female presents with a history of diabetes mellitus type 2, mixed hyperlipidemia and family history of early coronary artery disease experiencing increased shortness of breath and intermittent chest pain with exertion.

6-3

A 53-year-old male presents with a history of tobacco use and recurrent chest pain. Graded exercise treadmill was equivocal with limiting chest pain but no ischemic ECG changes.

6-4

A 28-year-old male presents with a history of intermittent chest pain with exertion.

6-5

A 69-year-old male presents with a history of hypertension, mixed hyperlipidemia, and pre-diabetes with new onset of shortness of breath and chest tightness with exertion.

0 / 5 Cases

Worklist 7

7-1

A 74-year-old male presents with a history of coronary artery disease status post CABG (anatomy unknown), hypertension, and mixed hyperlipidemia with worsening chest pain.

7-2

A 42-year-old male presents with a history of recent myocardial infarction. Status post invasive coronary angiogram with findings of possible spontaneous coronary artery dissection vs. vasospasm vs. acute plaque rupture of a diagonal branch.

7-3

A 72-year-old male presents with a history of hyperlipidemia, hypertension, and diabetes mellitus type 2 with new onset of chest pain with exertion.

7-4

A 59-year-old male presents with a history of hyperlipidemia, hypertension tobacco use, and diabetes mellitus type 2, with new onset of acute chest pain with exertion. An acute coronary syndrome is ruled out with negative cardiac biomarkers and no evidence of ischemia on ECG.

7-5

A 43-year-old male presents with a history of hypertension, and paroxysmal atrial fibrillation. Request for Cardiac CT to assess pulmonary vein anatomy prior to planned pulmonary vein isolation.

0 / 5 Cases

Worklist 8

8-1

A 49-year-old male presents with a history of hypertension, mixed hyperlipidemia, and coronary artery disease with chest pain on exertion.

8-2

A 62-year-old female presents with pre-diabetes and hypertension with new onset of chest pain with exertion.

8-3

A 69-year-old male presents with a history of coronary artery disease status post CABG (anatomy is unknown), and hypertension with worsening chest pain.

8-4

A 68-year-old male presents with a history of coronary artery disease status post CABG, hypertension, and mixed hyperlipidemia presenting with worsening chest pain.

8-5

A 62-year-old female presents with a history of aortic valve stenosis status post bioprosthetic surgical aortic valve replacement, hypertension, mixed hyperlipidemia, and diabetes mellitus type 2 with symptoms of chest pain and shortness of breath with activity.

0 / 5 Cases

Worklist 9

9-1

A 72-year-old male presents with a history of coronary artery disease status post CABG, hypertension, and mixed hyperlipidemia with worsening chest pain despite improved medical therapy.

9-2

A 22-year-old male presents with recent abnormal ECG and echocardiogram with evidence of right ventricular dilation.

9-3

A 65-year-old female presents with a history of diabetes, hypertension, and prior coronary artery bypass surgery with new onset of chest pain with exertion.

9-4

A 39-year-old male presents with a history of anomalous coronary artery involving the RCA s/p CABG due to chest pain with ischemia, presents for recurrence of chest pain. Request for CCTA to assess for arterial graft patency.

9-5

A 68-year-old male presents with a history of obesity, hyperlipidemia, hypertension, and diabetes mellitus type 2, coronary artery disease with prior PCI to the LAD and LCX with new onset of chest pain with exertion.

0 / 11 Units

Worklist 10: TAVR

TAVR Section Introduction

Introduction to TAVR CT: What Every Radiologist Must Know

Wk 10, Case 1 - Review

Wk 10, Case 2 - Review

Wk 10, Case 3 - Practice - Question 1

Wk 10, Case 3 - Practice - Question 2

Wk 10, Case 3 - Review

Wk 10, Case 4 - Practice - Question 1

Wk 10, Case 4 - Review

Wk 10, Case 5 - Practice - Question 1

Wk 10, Case 5 - Review

Course Evaluation

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