Rafique Soomal, Bhandari Amit, Srinivas Pragna, Rafique Arisha, Murthy Avinash
Internal Medicine, Southern Illinois University School of Medicine, Springfield, USA.
Internal Medicine, St. John's Hospital, Springfield, USA.
Cureus. 2025 Jun 9;17(6):e85643. doi: 10.7759/cureus.85643. eCollection 2025 Jun.
Various radiological findings are observed in acute pericarditis, including pericardial thickening, pericardial effusion, and elevated filling pressures on transthoracic echocardiogram (TTE); thickened pericardium on cardiac CT; edematous pericardium depicted in T2 black-blood/short tau inversion recovery (STIR) images; and enhancement with late gadolinium enhancement (LGE) on cardiac MRI. However, the presence of a bright pericardium on TTE has seldom been reported. We report a case of acute pericarditis, diagnosed in a young female patient based only on typical chest pain and elevated inflammatory markers. Initially negligible, a bright pericardium was prominent on the recurrent episode after one year of the initial presentation.
急性心包炎可见多种放射学表现，包括心包增厚、心包积液以及经胸超声心动图（TTE）显示的充盈压升高；心脏CT显示心包增厚；T2加权黑血/短反转时间反转恢复（STIR）图像显示心包水肿；心脏磁共振成像（MRI）显示钆延迟增强（LGE）。然而，TTE上心包呈高信号的情况鲜有报道。我们报告一例急性心包炎病例，该年轻女性患者仅根据典型胸痛和炎症标志物升高得以确诊。最初心包高信号不明显，在初次就诊一年后的复发时变得显著。
