Tuberculoma of the pericardium is a rare entity that can radiographically mimic left atrial enlargement.
May prompt inclusion of pericardial tuberculoma in left atrial enlargement differentials; case report leaves open need for validation studies.
Pericardial diseases may mimic specific types of cardiac chamber or great vessel enlargement. This paper presents a very rare entity, tuberculoma of the pericardium, which was mis-diagnosed radiographically as left atrial enlargement. A 41-year-old white male complained of “congestion” and heaviness in his upper chest. The patient's medical history included several bouts of childhood pneumonia, and bronchiectasis was diagnosed at the age of 10. The patient's father died of tuberculosis. At 22 years of age the patient developed progressive chest-pain and dyspnoea on exertion, and two years later he underwent pericardiectomy for calcific constrictive pericarditis.
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Berger et al. (1976) studied this question.
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