From: Subject: =?iso-8859-1?Q?Pericardial_ef?= =?iso-8859-1?Q?fusion?= Date: Wed, 18 Feb 2004 22:14:51 -0500 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0057_01C3F66C.A0E63C50"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V5.00.3314.1001 This is a multi-part message in MIME format. ------=_NextPart_000_0057_01C3F66C.A0E63C50 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: =?iso-8859-1?B?aHR0cDovL3d3dy5hbWU=?= =?iso-8859-1?B?cnNoYW1oZWFsdGguY28=?= =?iso-8859-1?B?bS9tZWRjeWNsb3BhZWQ=?= =?iso-8859-1?B?aWEvVm9sdW1lJTIwViU=?= =?iso-8859-1?B?MjAyL1BFUklDQVJESUE=?= =?iso-8859-1?B?TCUyMEVGRlVTSU9OLmE=?= =?iso-8859-1?B?c3A=?= Pericardial effusion
 
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Pericardial=20 effusion,
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accumulation of=20 fluid in the pericardial sac. A large effusion inducing a = rise of=20 intrapericardial pressure causes cardiac compression and = symptoms of=20 pericardial=20 tamponade. There are many aetologies for effusion = including: pericarditis,=20 pericardial infection, pericardial tumours, postpericardiotomy=20 syndrome, radiation, collagen vascular diseases, = uraemia, heart=20 failure, chylopericardium=20 and myxoedema. The effusion may be loculated, especially = after=20 cardiac surgery. Chest X-ray suggests the diagnosis when = there is=20 enlargement of the cardiac silhouette over a short time = interval=20 especially in the absence of pulmonary venous hypertension = or=20 oedema. The lateral view may show the fat pad sign = consisting of=20 separation of the parietal and epicardial fat layers by more = than=20 3=964 mm. Echocardiography=20 is usually employed for definitive diagnosis. Computed = tomography=20 and MRI are very sensitive techniques for demonstrating = effusions=20 (Fig.1).=20 Haemorrhagic effusions are characterized by high density on = CT and=20 high signal intensity on T1-weighted spin echo MRI (Fig.2).=20

CBH


The = Encyclopaedia=20 of Medical Imaging Volume V:2
Pericardial=20 effusion, Fig. 1
ECG-gated=20 spin-echo image shows a large pericardial effusion. This=20 transudative effusion has low signal intensity. =
Pericardial=20 effusion, Fig. 2
ECG-gated=20 spin-echo image demonstrates a loculated pericardial = effusion. This=20 haemorrhagic effusion has high signal intensity. =
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