Pericardial calcification
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Pericardial calcification usually occurs in patients with a history of pericarditis.
Pathology
Aetiology
- uraemia
- previous trauma or prior pericarditis
- later sequelae of rheumatic heart disease
- malignant pericardial involvement (e.g. mediastinal teratoma)
On chest radiography, the location of the calcifications can help differentiate pericardial calcifications from myocardial calcifications caused by ventricular aneurysms. While pericardial calcification is seen more commonly over the right ventricle, myocardial calcifications are seen more commonly over the left ventricle 3.
Differential diagnosis
The differential diagnosis for pericardial calcifications include:
- constrictive pericarditis: in the setting of heart failure with concern for constrictive pericarditis or restrictive cardiomyopathy, calcifications are highly suggestive of the former
- chronic adhesive pericarditis in the absence of constriction: less dense with a more patchy distribution 1
- rheumatic pericarditis2
- myocardial calcification (e.g. from left ventricular aneurysm)
See also
-</ul><p>On chest radiography, location of the calcifications can help differentiate pericardial calcifications from myocardial calcifications caused by ventricular aneurysms. While pericardial calcification is seen more commonly over the right ventricle, myocardial calcifications are seen more commonly over the left ventricle <sup>3</sup>.</p><h4>Differential diagnosis</h4><p>The differential diagnosis for pericardial calcifications include:</p><ul>- +</ul><p>On chest radiography, the location of the calcifications can help differentiate pericardial calcifications from myocardial calcifications caused by ventricular aneurysms. While pericardial calcification is seen more commonly over the right ventricle, myocardial calcifications are seen more commonly over the left ventricle <sup>3</sup>.</p><h4>Differential diagnosis</h4><p>The differential diagnosis for pericardial calcifications include:</p><ul>
-<a href="/articles/rheumatic-pericarditis">rheumatic pericarditis </a><sup>2</sup>- +<a href="/articles/rheumatic-pericarditis">rheumatic pericarditis</a> <sup>2</sup>
-<a title="myocardial calcification" href="/articles/myocardial-calcification">myocardial calcification</a> (e.g. from <a href="/articles/left-ventricular-aneurysm">left ventricular aneurysm</a>) </li>- +<a href="/articles/myocardial-calcification">myocardial calcification</a> (e.g. from <a href="/articles/left-ventricular-aneurysm">left ventricular aneurysm</a>) </li>
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Case 43
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