Fig. 15
From: Significant incidental cardiac disease on thoracic CT: what the general radiologist needs to know
Axial contrast-enhanced CT shows thickening of the visceral and parietal pericardium (black arrows) with fluid in between the pericardial layers in a 77-year-old male patient being investigated for loculated pleural effusion. This pericardial thickening and fluid are resulting in constrictive physiology (constrictive pericarditis), evidenced by a decreased volume, cone-shaped right ventricle, and a sigmoid-shaped interventricular septum (black asterisks)