Constrictive Tuberculous Pericarditis
Imaging findings
CT chest shows a thick, calcified pericardial rind completely encasing the heart, with associated biatrial enlargement, IVC dilation, and a calcified pleural peel/thickening on the right, consistent with old tuberculosis.
Key takeaways
Tuberculosis is a common cause of constrictive pericarditis in endemic regions. It leads to dense pericardial calcification, which constricts ventricular filling and results in systemic venous congestion (dilated IVC/atria).
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