The real Macaroni sign?

Abstract

A common case of dyspnea was admitted in Cardiology Unit for further in-vestigations. Because the normal vital signs, the lack of congestion at physical exami-nation, arterial blood gas analysis, troponin and NTproBNP levels within the normal range, non-detected abnormalities at EKG and echocardiography, a CT scan was planned in the suspected of lung disease. A body shaped like narrow tubes in the diges-tive tract from the esophagus to the stomach of undefined origin were reported. Thus, a urgent esophagogastroduodenoscopy was scheduled. The final diagnosis was the “real Macaroni Sign”.