Discussion in 'Spot Diagnosis' started by dracomalfoy, Aug 15, 2012.
What's your diagnosis of this case?
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).
Pericardial calcification probably constrictive pericarditis
Elevated pulmo basis l.dx. on many causes with pericardial caldification and hypertrophy LV.
Ans : Pericardial Calcification
The differential diagnosis for pericardial calcifications include:
1. Constrictive Pericarditis :
* Infection : Tuberculosis (most common cause), Viral infection, Pyogenic infection
* Previous cardiac surgery
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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