Constrictive pericarditis

Case contributed by Riyad Waheed Alesawi

Presentation

Shortness of breath.

Patient Data

Age: 55 years
Gender: Male
ct

Prominent main pulmonary artery (32 mm diameter) and bilateral pleural effusion with significant reflux of contrast into the IVC - signs reflecting pulmonary hypertension 

Presence of significant pericardial calcification along the anterior and posteroinferior surface of the pericardium

Case Discussion

CT features are suggestive of constrictive pericarditis. In this case, the patient was not complaining of chest pain, the presentation was for shortness of breath which is the result of bilateral pleural effusions as a complication of pulmonary hypertension 

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