Doctor insights on:
Physiologic Pericardial Effusion
Had a cardiac mri. Finding: mild lv cavity dilation, normal lv systolic function; lvef 62%.Trivial pericardial & pleural effusion?
Sounds pretty normal: Ef is normal, tiny effusions are nothing to worry about. Was valvular function normal - ie no stenosis or regurgitation? Also, how much dilation? Was a volume given? Would followup with a cardiologist and make sure you optimize your therapy for high blood pressure among other conditions. The lv dilation and pericardial effusions could be followed with echocardiography. ...Read moreSee 1 more doctor answer
Pericardial effusion: Pericardial effusion most commonly is associated with faster heart rates as tachycardia compensates to maintaini cardiac output when there is restriction to ventricular filling as there is in large effusions. If the effusion is small, heart rate is likely unaffected. Depending on the cause of the effusion, however, heart block could occur (hypothyroidism), or if vagal reaction occurs. ...Read more
Pericardial effusion: If pericardial effusion is part of systemic fluid overload (anasarca) or as a result of renal failure (uremic) diuresis might be helpful. If the effusion, however, is large and compression prevents ventricular filling, then diuretics could make things worse, by reducing the preload and depressing ventricular filling even more. ...Read moreSee 1 more doctor answer
Pericardial effusion: The fluid is all around the heart (circumferential) as opposed to only at places (loculated). ...Read more
No, but: Increased pleural fluid (effusion) may be caused by pulmonary edema and heart failure. This is because the heart is unable to pump the blood effectively and fluid backs up in the lungs and leaks out to the pleural space. The fluid can often be relieved by medication. Pneumonia can cause increased fluid as well, which is often infected (empyema). This is removed by a tube in the chest or surgery. ...Read more
Fluid around heart: Heart muscle is covered by very thin layer of tissue called epicardium. Further surrounded by very thin partially distensible sac called pericardium. Space between epi- and peri- cardium always contains small amount of lubricating fluid. Epi or pericardium can become inflammed or fluid can leak into this space. When fluid accumulates and becomes detectable it is an "effusion.". ...Read more
See below: Pericardial tamponade is a serious emergency problem of fluid or blood collection in the sac around the heart, causing heart dysfunction. Myocardial contusion is a potentially serious condition of direct trauma and bruising of the heart muscle. Flail chest is a serious problem of multiple rib fractures in several locations on one side of the chest resulting in the lung to not expand correctly. ...Read more
Explained below: There is a collection of fluid in an estimated small amount around your lung. On the left there is most likely a focal area of scar connecting the lining of the lung called the pleura with the diaphragm. Did you have an empyema? An infection in the pleural space and/or a chest tube placed? ...Read more
Xray results showed perihilarbronchial wall thickening w/ perihliar densities w/out evidence of pleural effusion, focal consolidation or pneumothorax?
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