Constrictive Pericarditis and Pleuropulmonary Disease Linked to Ergot Dopamine Agonist Therapy (Cabergoline) for Parkinson's Disease Lieng H. Ling, M.B.,

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Constrictive Pericarditis and Pleuropulmonary Disease Linked to Ergot Dopamine Agonist Therapy (Cabergoline) for Parkinson's Disease Lieng H. Ling, M.B., B.S., M.R.C.P., J. Eric Ahlskog, Ph.D., M.D., Thomas M. Munger, M.D., Andrew H. Limper, M.D., Jae K. Oh, M.D. Mayo Clinic Proceedings Volume 74, Issue 4, Pages 371-375 (April 1999) DOI: 10.4065/74.4.371 Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 A, Posteroanterior chest radiogram, showing minimal fibrotic changes in mid and lower lung zones before commencement of cabergoline therapy. B, Repeated chest radiogram 26 months later, showing marked interstitial fibrosis with reduced lung volumes, thickened pleura in both costophrenic angles, and upward retraction of left hemidiaphragm. Mayo Clinic Proceedings 1999 74, 371-375DOI: (10.4065/74.4.371) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Electron beam computed tomogram of heart with intravenous contrast medium enhancement. Basal short-axis section(left panel) demonstrates very mild thickening (arrows) of parietal pericardium anterior to aorta (Ao) and main pulmonary artery (PA). More inferior view (right panel) shows minimally thickened pericardium (arrows) overlying right ventricle (RV). LA = left atrium; LV = left ventricle; RA = right atrium. Mayo Clinic Proceedings 1999 74, 371-375DOI: (10.4065/74.4.371) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Unenhanced high-resolution computed tomogram of chest. Interstitial fibrosis is apparent, especially in subpleural regions. P indicates loculated pneumothorax in left (L) lower lobe posteriorly. R = right. Mayo Clinic Proceedings 1999 74, 371-375DOI: (10.4065/74.4.371) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions