Doppler echocardiographic signs to differentiate between chronic lung disease and right ventricular dysfunction in a child with calcified pericardium.

A 7 year-old girl was admitted with history of low-grade fever, weight loss and occasional cough for the last 6 months. Tuberculosis was suspected, for which antituberculous treatment was initiated. Chest X-ray demonstrated calcification of the pericardium with chest miliary shadowing.