Figure Legend:
Figure 1: Electrocardiography shows sinus node arrest with a junctional escape at 35 – 40 bpm.
Figure 2 : Holter shows sinus pause and sinus arrest with junctional escape beats/rhythm, confirming the diagnosis of sick sinus syndrome).
Figure 3A: CT scan (HRCT) of the chest with upper Abdomen shows evidence of liver on the left side of the abdomen and midline stomach.
Figure 3B: CT scan of the chest (HRCT) with upper Abdomen shows Bilateral trilobed lung with hyparterial bronchus.Figure 3C: CT scan on axial view shows evidence of liver on the left side of the abdomen and midline stomach. Multiple accessory spleens (at least 7) are seen in the abdomen.