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An Ideal Image: Effusive Constrictive Pericarditis
Shah M. Azarisman, MBBS, MMed, James D. Richardson, MBBS, S.K. Chua, MBBS, Michael S. Cunningham, MBBS, Karen S. Teo, MBBS, PhD, Stephen G. Worthley, MBBS, PhD The American Journal of Medicine Volume 126, Issue 1, Pages (January 2013) DOI: /j.amjmed Copyright © Terms and Conditions
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Figure 1 Cardiac magnetic resonance imaging was used to diagnose effusive-constrictive cardiac physiology. Cine short-axis views are presented here. A, A normal septal shape was evident at end expiration. B, Septal flattening at end inspiration is denoted with an arrow. Note the large pericardial effusion, which is marked with an asterisk. The American Journal of Medicine , 25-26DOI: ( /j.amjmed ) Copyright © Terms and Conditions
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Figure 2 Late gadolinium enhancement of the pericardium is shown here. A, Global late enhancement of both layers of the pericardium (bright white) is in the short axis view. B, This is the horizontal long axis view. In both images, the fluid comprising the pericardial effusion appears black. The American Journal of Medicine , 25-26DOI: ( /j.amjmed ) Copyright © Terms and Conditions
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Figure 3 Histopathology followed pericardiectomy. A, This low-magnification photomicrograph of the excised pericardium demonstrates myocardium, thickened pericardium, and pericardial fat (hematoxylin and eosin, 100×). B, A high-magnification view of the pericardium shows significant inflammatory cell infiltration consistent with chronic inflammation (hematoxylin and eosin, 40×). The American Journal of Medicine , 25-26DOI: ( /j.amjmed ) Copyright © Terms and Conditions
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