Pericardial Effusion

 

The Common Vein Copyright 2019

WATER BOTTLE HEART
X-ray shows the typical appearance of a “water bottle heart” characteristic of a pericardial of a large pericardial effusion.
Ashley Davidoff MD
WATER BOTTLE HEART
X-ray shows the typical appearance of a “water bottle heart” characteristic of a pericardial of a large pericardial effusion.
Ashley Davidoff MD

 

Atlas

Effusion Type T1W FSE T2W FSE
Transudate low high
exudate  medium high
 proteinaceous  high  very high
 acute hemorrhage  homogeneous high  homogeneous low
subacute or chronic hemorrhage  heterogeneous subacute bright or dark

chronic usually dark

Sandwich Sign – Oreo Cookie Sign of a Pericardial Effusion on Lateral CXR
76031c01c heart cardiac pericardium pericardial effusion enlarged fluid between two fat layers sandwich sign visceral pericardium parietal pericardium epicardial fat pericardial fat plain film CXR plain X-ray Courtesy Rebecca Schwartz MD

Sandwich Sign of a Pericardial Effusion on Lateral CXR
76031c01d heart cardiac pericardium pericardial effusion enlarged fluid between two fat layers sandwich sign visceral pericardium parietal pericardium epicardial fat pericardial fat plain film CXR plain X-ray Courtesy Rebecca Schwartz MD
SLE  AND LARGE HEART
2 views of the chest of a 54 year old female with SLE and Sjogren’s syndrome show a slightly enlarged heart in the PA projection and an unusually prominent and rotund IVC (red arrowhead)
Ashley Davidoff MD
key words
pericarditis, pericardial effusion, SLE
SLE AND LARGE HEART
Coronal (above) and axial images CT showing the Rv and LV of a 54 year old female with SLE and Sjogren’s syndrome. A small pericardial effusion is noted accounting for the cardiomegaly on CXR.
Ashley Davidoff MD
key words SLE, pericarditis, pericardial effusion
SLE AND LARGE HEART
The axial image (a) and correlative sagittal image (b) show a prominent IVC (white arrowhead) accounting in part for the rotund and prominent IVC shadow on the CXR. Image c and d show that the pericardial effusion itself also contributes to the posterior shadow (pink arrowheads) The patient is a 54 year old female with SLE and Sjogren’s syndrome with active SLE and pericarditis and pericardial effusion.
Ashley Davidoff MD
key words SLE, pericarditis, pericardial effusion

Constriction

In CP, the size of the heart is usually normal; flattening of the right ventricle and curving of the interventricular septum to the left . The azygos vein and superior vena cava (SVC) are commonly dilated.

Web References

ACC – CXR and pericardial Disease