Alpa Hemant Bharati MD, Abstract Co-Author: Nothing to Disclose

Suleman Adam Merchant MD, Abstract Co-Author: Nothing to Disclose

Chinmay Nagesh MBBS, MD, Abstract Co-Author: Nothing to Disclose

Tapan Chandrakant Patel MBBS, Abstract Co-Author: Nothing to Disclose

Ashank Bansal, Abstract Co-Author: Nothing to Disclose

Rahul Ganapati Hegde MBBS, Presenter: Nothing to Disclose

To review the pathophysiology of cardiac tuberculosis To discuss the spectrum of findings in cardiac TB and bring awareness of the complex imaging features including formation of complex pericardial and myocardial inflammatory masses To describe a new sign of 'pericarditis-myocarditis complex' that would point towards cardiac TB in patients presenting with myocardial mass lesions.  

Pathophysiology of Cardiac Tuberculosis Review of the spectrum of imaging findings of Tuberculosis of the heart starting with simple pericardial disease, complex-pericardial disease, the myo-pericardial complex, dilated cardiomyopathies to  complex myocardial disease including mass lesions affecting the myocardium Review the utility of the 'myocarditis-pericarditis' sign for identifying cardiac Tuberculosis on MRI

The major teaching points of this exhibit are: 1. Cardiac TB has a spectrum of varied appearance on Cardiac MRI from simple pericarditis to complex pancarditis 2. Cardiac TB can present as complex and large myocardial mass lesion 3. Presence of pericarditis along with an infiltrating cardiac mass lesion in the appropriate clinical scenario is a good pointer to the mass representing Cardiac TB rather than a malignant tumour.

Bharati, A, Merchant, S, Nagesh, C, Patel, T, Bansal, A, Hegde, R, 'The Myocarditis-Pericarditis Complex' A Sign of Cardiac Tuberculosis Identified on Cardiac MRI.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13012394.html