18 results
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... silhouette on the chest ... Pericardial effusion ... CT-reconstruction #Clinical #Radiology ... #RadiologyAssistant
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Also has pericardial ... effusion/pericardial ... Hypertensive without RA/RV ... similar sized effusion ... Echocardiogram #clinical #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Also has pericardial ... effusion/pericardial ... evidence of RA/RV ... with similar peri effusion ... Echocardiogram #clinical #cardiology
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... to Accommodate RV ... Cessation due to Stiff Pericardium ... structures and extra- pericardial ... pathophysiology #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... since the heart or pericardial ... fat or effusion ... #Clinical #Radiology ... #Incisura #RadiologyAssistant
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Diagnosis Algorithm Pericardial ... • Effusion ... • Cardiac Tamponade ... * • Constriction ... Thickening/Masses Chest
Constrictive Pericarditis on Cardiac MRI

MRI shows ventricular interdependence and re-demonstrates the thickened pericardium. 

Dr. Omid Kiamanesh
Constrictive Pericarditis ... on Cardiac MRI ... the thickened pericardium ... OKiamanesh #Constrictive ... #radiology #chest
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... diastolic collapse of RV ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology
Cardiac MRI in Evaluation of Pericardial Disease

Tl-weighted fast spin echo - Morphological assessment of the pericardium
Cardiac MRI in Evaluation ... effusion • Signal ... effusionpericardial ... effects such as RV ... #Pericarditis #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign in Constrictive ... blue marks on her chest ... Causes = RV failure ... extra sound is a pericardial ... Pericarditis #Cardiology