Tuberculous pericarditis is an extrapulmonary manifestation of tuberculosis that is most commonly associated with pericardial thickening, effusion, Spinner Seal 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 DS determining the differential diagnoses in cases of tuberculous pericarditis with nonspecific imaging findings.