A 57 year old male has distant heart sounds on auscultation of the chest. He has poor exercise tolerance. A chest radiograph reveals that there is a thin rim of calcification surrounding the cardiac outline. Which of the following conditions is most likely responsible for these findings:
C Rheumatic heart disease
E Metastatic carcinoma
(B) CORRECT. A calcific pericarditis is most likely to complicate granulomatous pericarditis. Tuberculosis may spread from the lungs to the mediastinum and involve the heart.
M.D., PGY-3 Internal Medicine