Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
HIV induced pericarditis MRI
Introduction
Overview
Overview
MRI allow assessment of the entire chest and detection of associated abnormalities in the mediastinum, lungs and adjacent structures. MRI also delineate more precisely the spacial distribution of pericardial effusion in complex pericardial collections. It may be very useful in the investigation of the presence and extension of neoplastic disease.
MRI
MRI
A pericardial effusion is black on spin echo images and in contrast is bright on gradient echo images. Small to moderate sized pericardial effusion occupy the space anterior to the right ventricle and are usually 5 mm or greater. A large pericardial effusion is often circumferential.
Insight into the composition of the pericardial effusion can be gleaned based upon the following characteristics:
- Transudates: low signal on T1-weighted images but high signal on T2-weighted and gradient echo images.
- Exudates: Intermediate signal on both types of sequences.
- Hemorrhagic effusions: Wide range of signal intensity on spin-echo sequences that is dependent upon the age of the effusion.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Â ; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]