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Case of the Week 541


What is the most likely diagnosis?

  • 47 year-old with dyspnea



CT Scan of the Thorax Windowed for Bone

  1. Restrictive cardiomyopathy
  2. Constrictive pericarditis
  3. Asbestos-related pleural disease
  4. Sarcoidosis
  5. Mesothelioma

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Answer:

 

2. Constrictive Pericarditis

 

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Constrictive Pericarditis

General considerations

  • Defined by thickening of pericardium (>4mm) impeding diastolic filling
  • Thickened pericardium may calcify (50%)
  • Calcified pericardium almost always implies constriction, but not always
  • About 50% of calcified pericardiums are visible on conventional radiography

 

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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.