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American Journal of Roentgenology, Vol 102, 301-304, Copyright © 1968 by American Roentgen Ray Society


ROENTGENOGRAPHIC FINDINGS IN CONSTRICTIVE PERICARDITIS

ANALYSIS OF 21 CASES

STEVEN H. CORNELL M.D.1 and NICHOLAS P. ROSSI M.D.2

1 From the Department of Radiology, University Hospitals and Veterans Administration Hospital, Iowa City, Iowa
2 From the Division of Thoracic Surgery, University Hospitals and Veterans Administration Hospital, Iowa City, Iowa

The roentgenographic findings have been reviewed in 21 cases of proved constrictive pericarditis. Fluoroscopy showed absent or decreased pulsations in 95 per cent and remains an important diagnostic test, particularly with the advent of image amplification and television monitoring. In this series the left upper cardiac border was straight or convex in 90 per cent of patients. This is an important finding which has not been stressed sufficiently. As has been described before, the cardiopericardial silhouette may be enlarged and its configuration may vary considerably. Angiocardiography is generally not required but may be helpful in selected cases.


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