CTICasesCoxsackie Viral Constrictive Pericarditis
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Imaging findings
Marked loculation of fluid within the pericardium with substantial visceral and parietal pericardial thickening, bilateral pleural effusions, a tubular appearance of the ventricles, bi-atrial enlargement, and a dilated IVC. Post-pericardial window, there was a return to normal ventricular and atrial configuration.
Key takeaways
This case presented with classic signs of constrictive pericarditis. The etiology was identified as coxsackie viral pericarditis, confirmed by strongly positive titers, which is an interesting finding given that most cases are idiopathic or viral without specific isolation. The patient did well after a pericardial window.
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