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Calcified pericardium

Carlson CLC - MedPix

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Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Calcified pericardium

History: 68 year-old man with increased dyspnea on exertion and orthopnea.

Findings: PA and lateral chest x-rays demonstrate normal heart size with anterior and inferior pericardial calcifications and question of mild pulmonary venous engorgement. On non-contrast CT scan, the calcifications are described as eggshell-type calcifications which do not significantly involve the AV grooves. There is no pericardial effusion, evidence of right heart enlargement or failure, or vena cava and hepatic vein distention. Accessory splenules, old fractures of the spine and inferior sternum at the level of the pericardial calcifications are also seen. Echocardiography revealed mild dilatation of the inferior vena cava. Doppler of the mitral valve was suggestive of abnormal respiratory variation which can be seen in constrictive physiology.

Ddx: Calcific constrictive pericarditis vs. calcified pericardium from remote Post-traumatic hemopericardium. Underlying etiologies of constrictive pericardial disease include previous pericardiotomy or hemopericardium, radiation, virus, TB, chronic renal failure, rheumatoid arthritis, neoplastic involvement, and idiopathic.

Dxhow: Radiologic - confirmed by CT scan.

Exam: Echocardiography and cardiac catheterization show evidence of constrictive physiology.

No MeSH data available.


PA the lateral chest x-ray demonstrate a curvilinear opacity projecting over the right lower cardiac border on the PA view, and anteriorly on the lateral view suggesting a location within or anterior to the right ventricle, normal heart size, and question of mild pulmonary venous engorgement.  No pleural effusions
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MPX1755_synpic17665: PA the lateral chest x-ray demonstrate a curvilinear opacity projecting over the right lower cardiac border on the PA view, and anteriorly on the lateral view suggesting a location within or anterior to the right ventricle, normal heart size, and question of mild pulmonary venous engorgement. No pleural effusions


Calcified pericardium

Carlson CLC - MedPix

PA the lateral chest x-ray demonstrate a curvilinear opacity projecting over the right lower cardiac border on the PA view, and anteriorly on the lateral view suggesting a location within or anterior to the right ventricle, normal heart size, and question of mild pulmonary venous engorgement.  No pleural effusions
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1755&req=5

MPX1755_synpic17665: PA the lateral chest x-ray demonstrate a curvilinear opacity projecting over the right lower cardiac border on the PA view, and anteriorly on the lateral view suggesting a location within or anterior to the right ventricle, normal heart size, and question of mild pulmonary venous engorgement. No pleural effusions

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Calcified pericardium

History: 68 year-old man with increased dyspnea on exertion and orthopnea.

Findings: PA and lateral chest x-rays demonstrate normal heart size with anterior and inferior pericardial calcifications and question of mild pulmonary venous engorgement. On non-contrast CT scan, the calcifications are described as eggshell-type calcifications which do not significantly involve the AV grooves. There is no pericardial effusion, evidence of right heart enlargement or failure, or vena cava and hepatic vein distention. Accessory splenules, old fractures of the spine and inferior sternum at the level of the pericardial calcifications are also seen. Echocardiography revealed mild dilatation of the inferior vena cava. Doppler of the mitral valve was suggestive of abnormal respiratory variation which can be seen in constrictive physiology.

Ddx: Calcific constrictive pericarditis vs. calcified pericardium from remote Post-traumatic hemopericardium. Underlying etiologies of constrictive pericardial disease include previous pericardiotomy or hemopericardium, radiation, virus, TB, chronic renal failure, rheumatoid arthritis, neoplastic involvement, and idiopathic.

Dxhow: Radiologic - confirmed by CT scan.

Exam: Echocardiography and cardiac catheterization show evidence of constrictive physiology.

No MeSH data available.