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Constrictive pericarditis from an embolized hypodermic needle: radiographic, CT and MR imaging findings
Authors:Jonathan C. Trent   Theodore K. Lau  Akira Kawashima
Affiliation:(1) Department of Internal Medicine, University of Texas Health Science Center, 6431 Fannin St., Houston, TX, 77030;(2) Department of Radiology, University of Texas Health Science Center, 6431 Fannin St., Houston, TX, 77030;(3) Lyndon B. Johnson General Hospital, 5656 Kelley Street, Houston, TX, 77026
Abstract:We present the radiographic, computed tomographic (CT), and magnetic resonance (MR) findings in a woman with constrictive pericarditis due to an embolized hypodermic needle. The chest films revealed pleural effusions but no foreign body. The CT showed pericardial thickening and a linear foreign body of metallic attenuation in the right ventricular apex, and MR imaging revealed a signal void with magnetic susceptibility artifact. This case illustrates the capabilities and limitations of CT and MR imaging in hypodermic needle-induced constrictive pericarditis.
Keywords:constrictive pericarditis  CT  hypodermic needle  intravenous drug abuse  MR imaging
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