Figure 1. Post-gadolinium inversion recovery sequence with steady state free precession readout demonstrates a grossly thickened pericardium (arrow) accompanied by a loculated pericardial effusion (*). Pleural thickening with effusion (P) is also present. Enhancement of the pleura and pericardium is consistent with significant fibrosis. Double inversion T1-weighted turbo spin echo sequence also demonstrates the findings of a loculated pericardial effusion.
