EURORAD ESR

Case 15209

pericardial Tuberculosis

Author(s)
Farnaz Torkzadeh, Indrajeet Das, Praveen Rao

Gleinfield Hospital, University Hospital Leicester ; Groby Road LE3 9qp Leicester; Email:farnaz.torkzadeh@gmail.com
 
Patient
female, 29 year(s)
 
 
  • Figure 1
    Initial Chest X-Ray

    Initial Chest X-Ray was normal.

     
    Area of Interest: Cardiac; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    2nd Chest X-Ray

    Second CXR, obtained 3 weeks after initial CXR, shows loss of left cardiac silhouette.

     
    Area of Interest: Cardiac; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    CT Pulmonary Angiogram

    Initial CTPA shows paracardiac mass along the base and apex of the heart measuring 8.9x6.2cm, iso-attenuating to myocardium on the pulmonary arterial phase.

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    CT Pulmonary Angiogram, showing presence of axillary lymphadenopathy

    CTPA shows left-axillary lymphadenopathy, which did not have any enhancement and was iso-intense to muscle.

     
    Area of Interest: Lymph nodes; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 5
    CT chest abdomen pelvis (CTCAP)

    CT chest abdomen plelvis shows pericardial mass, primarily cystic, multi-loculated and demonstrated avid pericardial enhancement.

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 6
    Post-treatment MRI without contrast, T1 sequence

    Axial T1 sequence shows substantial resolution of pericardial changes.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Treatment effects; Special Focus: Infection;
     
     
  • Figure 7
    Post-treatment MRI without contrast, STIR sequence

    Axial T2 STIR sequence shows residual oedema in the para-cardiac fat, but resolution of the collection and lymphadenopathy.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Treatment effects; Special Focus: Infection;
     
     
Initial Chest X-Ray was normal.
 
Second CXR, obtained 3 weeks after initial CXR, shows loss of left cardiac silhouette.
 
Initial CTPA shows paracardiac mass along the base and apex of the heart measuring 8.9x6.2cm, iso-attenuating to myocardium on the pulmonary arterial phase.
 
CTPA shows left-axillary lymphadenopathy, which did not have any enhancement and was iso-intense to muscle.
 
CT chest abdomen plelvis shows pericardial mass, primarily cystic, multi-loculated and demonstrated avid pericardial enhancement.
 
Axial T1 sequence shows substantial resolution of pericardial changes.
 
Axial T2 STIR sequence shows residual oedema in the para-cardiac fat, but resolution of the collection and lymphadenopathy.
 
 
 
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