J Korean Soc Radiol.  2024 Jan;85(1):197-203. 10.3348/jksr.2023.0021.

Tuberculous Pericarditis Mimicking a Malignant Pericardial Tumor: A Case Report

Affiliations
  • 1Departments of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
  • 2Departments of Pathology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea

Abstract

Tuberculous pericarditis is an extrapulmonary manifestation of tuberculosis that is most commonly associated with pericardial thickening, effusion, and calcification. We present a case of tuberculous pericarditis mimicking a malignant pericardial tumor in a 77-year-old male. CT revealed an irregular and nodular pericardial thickening. MRI revealed high signal intensity on T1-weighted fat-suppressed images and peripheral rim enhancement after gadolinium administration. MRI can be helpful in determining the differential diagnoses in cases of tuberculous pericarditis with nonspecific imaging findings.

Keyword

Tuberculosis; Tuberculous Pericarditis; Pericardial Abscess; Magnetic Resonance Imaging
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