Pericarditis x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]

Overview

A flask-shaped, enlarged cardiac silhouette will be observed on chest x-ray in pericarditis complicated with pericardial effusion or tamponade. A mass may also be seen when malignancy is the cause. Calcification of pericardium may be noted in constrictive pericarditis.

Uncomplicated Pericarditis

In uncomplicated pericarditis, in the absence of a pericardial effusion or cardiac tamponade, the heart will not be enlarged on chest x ray.

Complicated Pericarditis

A flask-shaped, enlarged cardiac silhouette will be observed on chest X ray in the setting of pericardial effusion or cardiac tamponade.

Chest X Ray Examples

Pericardial effusion

Pericardial effusion

Images shown below are courtesy of RadsWiki

Pericardial effusion Day of the admission

Pericardial effusion. The second day of treatment.

Pericardial Masses

Mesothelial cyst of the pericardium. Note the rounded mass in the right costophrenic angle (arrow).

Pericardial Calcification

Pericardial calcifications in constrictive pericarditis

References

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