Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Tuberculous Pericarditis Mimicking a Malignant Pericardial Tumor: A Case Report

악성 심막 종양으로 오인한 결핵성 심막염: 증례 보고

  • Ji Young Park (Department of Radiology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Ji-Yeon Han (Department of Radiology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Jinyoung Park (Department of Radiology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Gi Won Shin (Department of Radiology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Su Young Yun (Department of Radiology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Mi Seon Kang (Department of Pathology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Da Som Kim (Department of Radiology, Busan Paik Hospital, Inje University College of Medicine)
  • 박지영 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 한지연 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 박진영 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 신기원 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 윤수영 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 강미선 (인제대학교 의과대학 부산백병원 병리과) ;
  • 김다솜 (인제대학교 의과대학 부산백병원 영상의학과)
  • Received : 2023.02.23
  • Accepted : 2023.08.26
  • Published : 2024.01.01
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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.

결핵성 심막염은 폐외 결핵으로 나타나는 질환으로 대부분 심막 비후, 심막 삼출과 석회화를 동반한다. 우리는 77세 남성에서 발견된 악성 심막 종양으로 오인된 결핵성 심막염에 대해 보고하려 한다. CT상 불규칙적이고 결절성 심막 비후로 관찰된 병변은 MRI T1 지방 억제 영상에서 고신호강도 및 테두리 조영증강을 보였다. 비특이적 영상 소견을 보이는 결핵성 심막염의 경우 MRI가 감별진단에 도움이 될 수 있다.

Keywords

Acknowledgement

We would like to thank Editage (www.editage.co.kr) for English language editing.

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