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Rugby Ball Cardiac Calcification


      A 65 year old gentleman, poorly compliant with medications and history of anterior wall myocardial infarction many years back presented with features of acute heart failure. Chest skiagram revealed a peculiar calcification (‘Rugby ball’) involving the cardiac apex and anterolateral wall. Echocardiography revealed aneurysmal dilatation involving the mid and apical left ventricle with severe left ventricular dysfunction. No mural thrombus was detected.He was stabilized with anti-heart failure medications and advised regular follow up.