|Patient: 48 year old male|
|History: 48 y male with chest pain.|
|Findings: Frontal and lateral views of the chest show a large calcified plaque along the diaphragmatic/ inferior aspect of the cardiac silhouette. It follows the expected course of the pericardium.|
A Chest CT with IV contrast confirms coarse calcifications in the pericardium.
|Discussion: Pericardial calcifications usually occur along the inferior/ diaphragmatic surface of the pericardium surrounding the ventricles. Viral infection or uremia cause thin egg-shell like calcification. Tuberculosis causes irregular coarse calcifications. Myocardial calcifications post myocardial infarction are usually curvilinear and are seen along the anterolateral wall of the LV or LV apex.|
They must be differentiated from coronary arterial calcifications, myocardial calcifications, diaphragmatic calcifications and valvular calcifications.
Pericardial calcifications are nonspecific for diagnosis of constrictive pericarditis. Constrictive pericarditis is present when a thick fibrotic pericardium interferes with diastolic filling of the heart. This results in elevated systemic venous pressure, pulmonary congestion and reduced cardiac output.
|References: Cardiac calcifications. Emedicine.|
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Case Number: 9886697Last Updated: 08-05-2007 The reader is fully responsible for confirming the accuracy of this content.
The reader is fully responsible for confirming the accuracy of this content.