Pericardial constriction in double-hit lymphoma
An 81-year-old man presented with 6-months of progressive dyspnoea, orthopnoea and 10kg weight loss. Physical examination was notable for cachexia, peripheral oedema, and a positive Kussmaul’s sign. Electrocardiogram demonstrated normal sinus rhythm (Figure 1). Chest X-ray revealed bilateral pleural effusions and interstitial oedema (Figure 2). Computed tomography (CT) of the chest identified a large right pleural effusion with multiple soft tissue nodules within the pericardial space encasing the coronary arteries. Transthoracic echocardiogram demonstrated a bright pericardium (Figure 3) with a small effusion and septal bounce, and subsequent right heart catheterization confirmed constrictive physiology,...
The authors have no disclosures to declare.
© American Society of Nuclear Cardiology 2019