Looks very much a infarct of infero posterior territory is it not ?
Have a look at her 2D echo still picture . . .
Are you convinced ?
This women had normal LV systolic and diastolic function with no evidence of constriction.
The explanation for the asymptomatic pericardial thickening is due to a healed chronic pericarditis .This sort of localised thickening in the posterior aspect is all the more likely following a loculated pericardial effusion.Tuberculosis is a very likely etiology.But this women do not have any markers for tuberculosis.Since she is symptomatic no treatment was offered.She is being followe
Here is a rare cause for pathological q waves , that mimic an inferior MI.