PMC4782473_01
Chest radiograph before pericardiectomy showing cardiomegaly and pulmonary venous hypertension
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F1
Her chest X-ray [Figure 1] showed cardiomegaly and pulmonary venous hypertension.
Computed tomography image showing normal thickness of the pericardium (arrow)
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F2
CT angiogram, [Figure 2] however, did not reveal pericardial thickening or calcification.
Histopathology of excised pericardium. Pericardium showing (a) Dense fibrosis and hyalinization with focal chronic inflammatory cell infiltration (inset, arrow) (b) Masson Trichrome stain imparts blue color to the fibrosed area
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F3
Histopathological examination of the excised pericardial tissue showed fibrosis, hyalinization, and focal chronic inflammation consistent with pericarditis [Figure 3].
Chest radiograph after pericardiectomy showing some decrease in cardiomegaly
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F4
On follow-up 1-year after pericardiectomy the child is active and growing adequately [Figure 4].