Calcific constrictive pericarditis
11-year-old boy with shortness of breath with on and off fever.
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Cardiac shadow is enlarged appearing rounded, globular appearance with no particular chamber enlargement. There is curvilinear radiodense shadow involving the antero-lateral margin of the cardiac border.
The lung field appears normal.
Calcification occurs among half of the patients with constrictive pericarditis; it often has a characteristic distribution involving the front and the lateral aspects of the heart but not at the back of the heart as fluid cannot collect around the insertion of the pulmonary veins 1.
Lungs are clear due to constriction over the right heart 1.
- 1. MCAR(Hon) MD MD DSMDFRCPFRCRDMRD, FRCR RRMDFRCP, FRCP JMMBBSMRCP. Textbook of radiology and imaging. Churchill Livingstone. ISBN:0443071098. Read it at Google Books - Find it at Amazon