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"A Surprise Calcification"

 



 

Case of the Week 274


What's the most likely diagnosis?

  • 50 year-old female with chest pain

  1. Cardiomyopathy
  2. Pleural effusions
  3. Pericardial effusion
  4. Mitral regurgitation
  5. Asbestos-related pleural disease


Answer:

 


3. Pericardial effusion

 

 

More (Click Discussion Tab)


Pericardial Effusion

General Considerations

  • Abnormal amount of fluid in the pericardial space, defined as the space between the visceral and parietal layers of the pericardium
  • Normally contains about 20-50 cc of fluid
  • Fat covers outside of heart and outside of pericardium sandwiching pericardial space between the two layers
    • Normal thickness of pericardium (parietal pericardium and fluid in space) is 2-4 mm

More ...



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