Tuberculosis conundrum - current and future scenarios: A proposed comprehensive approach combining laboratory, imaging, and computing advances

Figure 9 Cardiac tuberculous myo-pericarditis - ‘the myocarditis-pericarditis complex - a sign of cardiac tuberculosis’: 3 tesla cardiac magnetic resonance imaging. A: PSIR (4 chamber view -4CH) images shows enhancing pericardial thickening (thin arrow) and peripherally enhancing nodules in the subepicardial myocardium (thick arrow); B: PSIR (VLA view) - Thickened enhancing pericardium (unfilled arrow) with multiple nodular lesions (filled arrow) involving the myo-pericardium; C: Cine 4CH view: Diffuse pericardial thickening (<). In addition, nodular wall thickening (<) of the atria, and the interatrial septum is noted. (The patient was 10-year-old boy with a 2-mo h/o fever and chest pain and responded to anti-tuberculosis medications- regression of the lesions noted).