may find a way of improving the practice of medicine at a clinical level in your department.

Isolated noncompaction of the left ventricle (LV) is a rare disorder, classified as a primary genetic cardiomyopathy by the American Heart Association. The European Society of Cardiology Working Group on Myocardial and Pericardial Diseases classified LV noncompaction as an unclassified cardiomyopathy. LV noncompaction cardiomyopathy characterized by the following features: 1) an altered myocardial wall with prominent trabeculae and deep intertrabecular recesses resulting in thickened myocardium with two layers, consisting of compacted and noncompacted myocardium and 2) continuity between the left ventricular cavity and the deep intertrabecular recesses, which are filled with blood from the ventricular cavity, without evidence of communication with the epicardial coronary artery system. Features of LV noncompaction can overlap with dilated cardiomyopathy, hypertrophic cardiomyopathy (especially the apical variant), and restrictive cardiomyopathy. The phenotypic expression can vary considerably within the same family. The LV noncompaction can rarely occur as a transient phenomenon during myocarditis. We present the case of a 23-year-old patient, admitted to our Department for cardiac evaluation because of ECG changes and cardiac enlargement revealed at thoracic radiography. She had a history of chronic toxoplasmosis. An echocardiography was performed revealing left ventricular enlargement with severe systolic and diastolic dysfunction, diffuse hypokinesia and signs of isolated left ventricular non-compaction. Under these circumstances, we have considered the presence of isolated left ventricular non-compaction. A cardiac Magnetic Resonance Imaging was performed and it sustained the diagnosis. The alternative cause of

The unexpected finding of a pulmonary nodule in an asymptomatic patient is a common clinical event. This paper examines the case of a 64-year-old woman who was discovered to have a small pulmonary nodule on routine examination. Differential diagnosis, modes of examination, and pathological findings

ing carriage of identical epidemic Clostridium difficile isolates in stool samples of a peripartum woman with recurrent C. difficile infection and her asymptomatic baby. The epidemic control strain and the isolates obtained from the mother and the baby had PCR amplification results pos

Bronchogenic cyst is a result of abnormal development of the ventral foregut presents as a discrete mass. Most commonly, it is appeared in the middle mediastinum and rarely is seen in adults. We report a 35-year-old woman who was asymptomatic and incidentally was found with a mass in chest

between intrapericardial diaphragmatic hernia and epigastric hernia in an adult woman. In spite of herniation of the colon and omentum the patient was completely asymptomatic, requesting surgery for an epi-gastric hernia for aesthetic reasons. The defect of the diaphragm was sutured and the abdominal wall

Introduction-Cardiopathy still remains a prominent cause of maternal and fetal morbidity and mortality. Pregnancy increases cardiovascular stress and can cause an asymptomatic woman with heart disease to become symptomatic. Definite data in heart surgery with extracorporeal circulation during

Liver and lung metastasis and local lymph node invasion are reported in a 26-year-old Brazilian woman with an asymptomatic colon cancer. She was admitted complaining of right upper quadrant pain, and the diagnostic procedures revealed an unsuspected adenocarcinoma (stage IV) in the descending colon

A 42-year-old woman presented with an asymptomatic lesion of nearly 6-months duration on the right surface of the anal canal mucosa. She had an 18-year history of HIV infection on triple antiretroviral therapy. Her CD4 count was 420 cells/mm 3 and viral load was undetectable. As a remarkable

A 66-year-old woman without a preexisting history of liver disease presented with chest discomfort and dys-pnea. Laboratory studies revealed an isolated increase in aspartate aminotransferase (AST)3 that prompted consultation with a hepatologist. The patient was a re-tired schoolteacher and took