Notes in 08 Pericardial disease

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Published 05/01/2023 Cardiac Imaging: Pericardial diseaseThe pericardium consists of two layers, the {{c1::visceral}} and {{c1::parietal}} pericardium, which are separated…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseThe pericardial apparatus (combination of the visceral and parietal layers and pericardial fluid) measures <1 m…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseThe classic plain film finding of {{c1::pericardial effusion}} is the {{c2::oreo cookie}} sign, which represents t…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseThe primary clinical concern of a pericardial effusion is {{c1::cardiac tamponade}}. As little as 100-200 mL of pe…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseDx: {{c1::Large pericardial effusion}}
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseSign (On lateral)? {{c1::Oreo cookie sign}}Dx: {{c2::Pericardial effusion}}
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseYellow arrows {{c1::LV is caved in}}Blue arrow: {{c2::Loculated pericardial effusion}}Red arrow: {{c1::Concav…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseMost cases of acute pericarditis are {{c1::idiopathic}} and presumed to be {{c1::viral}}. Other causes includ…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseUp to 30% of patients with pericarditis have recurrent symptoms of {{c1::pericardial pain}}.Patients often respond…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseFindings: {{c1::Axial TIR image shows thickening of the pericardium with epicardial and pericardial stranding…
Published 05/01/2023 Cardiac Imaging: Pericardial diseasePericardial calcification can be a result of prior {{c1::pericarditis}}, most commonly {{c2::viral or uremic::2}} …
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseBeyond prior pericarditis, the main differential for pericardial calcification is myocardial calcification due to …
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseFindings/Dx: {{c1::extensive pericardial calcification}}
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseConstrictive pericarditis can occur after any type of {{c1::pericarditis}}, most commonly {{c2::viral or tuberculo…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseThe pericardium is typically {{c1::thickened (≥4 mm)}} in constrictive pericarditis. The presence of pericard…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseCine MRI of a patient with {{c2::constrictive pericarditis}} may show {{c1::paradoxical motion of the ventricular …
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseDelayed contrast-enhanced MRI of constrictive pericarditis shows {{c1::pericardial LGE}} due to fibrosis.
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseMyocardial tagging in a patient with {{c3::constrictive pericarditis}} shows lack of normal break between the {{c1…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseConstrictive pericarditis is treated {{c1::surgically by pericardial stripping}}.
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseLeft image findings: {{c1::4 chamber SSFP image on the left shows tubular shaped right ventricle with dilated…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseDx: {{c1::Constrictive pericarditis}}
Published 05/01/2023 Cardiac Imaging: Pericardial disease{{c1::Congenital absence}} of the pericardium is a spectrum of disorders ranging from a focal pericardial defect t…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseThe most common form of pericardial absence involves the {{c1::left pericardium}} in the region of the {{c2::left …
Published 05/01/2023 Cardiac Imaging: Pericardial diseasePatients with partial absence of the pericardium are at risk for {{c1::herniation}} of a portion of the heart thro…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseFindings: {{c1::Abnormal axis of the heart, which is displaced left-posteriorly into the left hemithorax.}}Dx: {{c…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseOn imaging, a clue to the presence of a {{c2::pericardial defect}} is a lucent notch between the {{c1::aorta}} and…
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseDefects of the {{c1::left}} pericardium cause {{c1::leftward}} displacement of the heart, which may in some cases …
Published 05/01/2023 Cardiac Imaging: Pericardial diseasePericardial cysts can be {{c1::congenital}} or a sequela of prior c{{c2::ardiac surgery}}. 
Published 05/01/2023 Cardiac Imaging: Pericardial disease70% of pericardial cysts occur in the {{c1::right cardiophrenic angle}}. 20% occur in the {{c1::left cardioph…
Published 05/01/2023 Cardiac Imaging: Pericardial diseasePericardial {{c1::diverticula}} communicate with the pericardial space and can change in size.
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseThe most common primary pericardial tumor is {{c1::pericardial mesothelioma}}.
Published 05/01/2023 Cardiac Imaging: Pericardial diseaseMost common pericardial metastases are from {{c1::lung}} and {{c2::breast}} cancer.
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