case_images: PMC11818129_01
case_images: Timeline of patient.
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case_images: However, symptoms persisted, accompanied by 5 kg weight loss and the onset of precordial-pleuritic chest pain, worsened in the supine position and were relieved in the sitting position (Figure 1).
case_images: Echocardiographic findings. Left ventricular concentric remodeling with preserved global and segmental wall motion and systolic function (ejection fraction: 71%). (A) Observed 4 mm pericardial effusion in the posterior sac. (B) Hyperechogenic pericardium measuring 3.9 mm.
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case_images: Echocardiography demonstrated a preserved ejection fraction (71%) and a 3.9 mm hyperechogenic pericardium (Figure 2).
case_images: Cardiac CT scan findings. Slight thickening of the pericardium in the anterior and posterior regions, measuring up to 8 mm, with fluid density suggestive of mild pericardial effusion.
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case_images: A chest CT revealed an 8 mm thickened pericardium with mild pericardial effusion (Figure 3), while an ECG displayed nonspecific changes.
case_images: Hemoglobin electrophoresis.
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case_images: S (<50%) (Figure 4), confirming the diagnosis of sickle cell trait. Suspecting a sickle cell crisis, hydroxyurea was initiated.
case_images: Cardiac magnetic resonance imaging findings. (A) T2-STIR (short axis) showing edema and inflammation in the cardiac apex. (B) Late gadolinium enhancement (sagittal view, short axis) showing pericardial thickening measuring approximately 5 mm. (C) T2-STIR (short axis) showing pericardial thickening. (D) T2 map (short axis) showing pericardial thickening measuring approximately 5 mm. (E) Late gadolinium enhancement (four-chamber, axial-view, long-axis) showing pericardial thickening and effusion.
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case_images: Cardiac magnetic resonance imaging (MRI) confirmed the presence of myopericarditis (Figure 5).