Constrictive pericarditis

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Generalized body swelling.

Patient Data

Age: 30 years
Gender: Male
ct

Calcific thickening of the pericardium is noted.
Interventricular septal flattening is noted with dilated inferior vena cava.
Cardiac chambers are well opacified with contrast.
Pulmonary arteries are unremarkable.
Bilateral mild pleural effusion

Case Discussion

Calcific thickening of the pericardium is seen which in a proper clinical setting is suggestive of constrictive pericarditis.

Features of cardiac failure are present like flattening of the interventricular septum, dilatation of inferior vena cava, and presence of bilateral mild pleural effusion

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