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Discussion in 'Spot Diagnosis' started by dracomalfoy, Aug 15, 2012.

  1. dracomalfoy

    dracomalfoy Famous Member

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    What's your diagnosis of this case?



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  2. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Elevated hemidiafragm on the right. There is a number of possible causes, e.g. atelectasis or partial collapse (decreased lung volume; cause lies above the diafragm), phrenic nerve palsy or contralateral CVA (affected diafragm) or an abdominal tumor / distended colon (cause lies below the diafragm).
     

  3. bb100

    bb100 Bronze Member

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    Pericardial calcification probably constrictive pericarditis
     

  4. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Pericardal calcification
     

  5. hebatttt

    hebatttt Active member

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    Pericardial calcification
     

  6. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Elevated pulmo basis l.dx. on many causes with pericardial caldification and hypertrophy LV.
     

  7. dracomalfoy

    dracomalfoy Famous Member

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    Ans : Pericardial Calcification


    The differential diagnosis for pericardial calcifications include:

    1. Constrictive Pericarditis :
    * Infection : Tuberculosis (most common cause), Viral infection, Pyogenic infection
    * Sarcoidosis
    * Previous cardiac surgery
    * Radiotherapy
    2. Chronic Adhesive Pericarditis: Less dense with a more patchy distribution.
    3. Myocardial Calcification (e.g from left ventricular aneurysm)
    4. Rheumatic Pericarditis
     

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