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[Pericardial effusions (85 cases): radiological aspects (author's transl)].
Journal De Radiologie
|October 1, 1979
Summary
Radiological signs of acute pericarditis are often absent, even with effusion. Left hilar manifestations are crucial for diagnosing pericardial effusions on standard X-rays, especially when heart size appears normal.
Area of Science:
- Radiology
- Cardiology
Background:
- Acute pericarditis with effusion presents diagnostic challenges.
- Conventional radiological assessment has limitations in detecting pericardial effusion.
Purpose of the Study:
- To evaluate the diagnostic utility of radiological signs in acute pericarditis and effusion.
- To compare findings before and after the introduction of ultrasonography.
Main Methods:
- Retrospective analysis of 85 patients with acute pericarditis and effusion.
- Comparison of two groups: 35 cases before ultrasonography and 50 cases confirmed by ultrasonography.
Main Results:
- 55% of cases showed absence of definitive radiological signs.
- Normal heart size was observed in 54% (pre-ultrasound) and 78% (post-ultrasound) of cases.
- Left hilar manifestations were present in 26% of cases, aiding diagnosis.
Conclusions:
- Acute pericarditis often lacks clear radiological signs, especially with normal heart size.
- Left hilar manifestations are significant indicators for diagnosing pericardial effusions on standard radiographs.
- Hilar signs provide objective evidence for pericardial effusions when other signs are equivocal.