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Cardiac Imaging

E2354. Resident Primer for Pericardial Disease: A Multimodality Approach

Chu L,  Lin C,  Johnson P,  Zimmerman S,  Fishman E. Johns Hopkins University, Baltimore, MD

Address correspondence to L. Chu (lchu1@jhmi.edu)

Background Information: Pericardial disease represents a heterogeneous group of congenital and acquired diseases that have variable clinical manifestations. Diagnosis of pericardial disease can be clinically challenging and requires integration of clinical history, physical examination, and multimodality imaging findings. The purposes of this exhibit are to review imaging techniques in the assessment of pericardial disease, review a broad spectrum of pericardial diseases, and discuss differential diagnosis of pericardial diseases based on specific imaging features.

Educational Goals/Teaching Points: Our aim is to review imaging techniques in the assessment of pericardial disease, to review a broad spectrum of pericardial diseases, and to discuss differential diagnosis of pericardial diseases based on specific imaging features.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: This exhibit will review normal anatomy of the pericardium and imaging techniques (radiography, echocardiography, CT, and MR) in the evaluation of pericardial disease. A broad spectrum of pericardial diseases including congenital absence of the pericardium, pericardial effusion and cardiac tamponade, pericarditis, and pericardial masses will be presented. There will be an emphasis on physiologic basis of various morphologic features seen in cardiac tamponade and constrictive pericarditis. Important differential diagnostic features of various pericardial masses will be emphasized.

Conclusion: Pericardial disease is a heterogeneous group of disease that requires a multimodality approach for diagnosis and management. Knowledge of cardiac physiology and morphologic features are important in narrowing the differential diagnosis.