Review ArticlesSigns of Increased Intrapericardial Pressure on Chest Computed Tomography Pictorial Review With Echocardiography, Cardiac Computed Tomography, and Cardiac Magnetic Resonance Imaging CorrelationRojas, Carlos A. MD*; Livingston, David MD†; Padilla, Gary MD*; Feldhaus, Jacob MD*; Rajan, Celin MD‡; Bowman, Andrew W. MD, PhD§,∥; Shapiro, Brian P. MD¶,#,**; Mergo, Patricia J. MD*Author Information *Division of Thoracic/Cardiac Radiology †Clinical Studies Unit Divisions of §Body Magnetic Resonance Imaging ∥Hospital Radiology ¶Department of Cardiovascular Medicine #Division of Pulmonary, Allergy and Sleep Medicine **Department of Radiology, Mayo Clinic, Jacksonville, FL ‡Christian Medical College & Hospital, Ludhiana, India C.A.R. and D.L. made equal contributions. This paper was presented at the Society of Thoracic Radiology Annual Meeting, March 4–7, 2018, Cedar Creek, TX, with the title, Pericardial Effusion: Signs of Increased Pericardial Pressure on CT of the Chest. The authors declare no conflicts of interest Correspondence to: Carlos A. Rojas, MD, Division of Thoracic/Cardiac Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224 (e-mail: email@example.com). Journal of Thoracic Imaging: May 2020 - Volume 35 - Issue 3 - p 143-152 doi: 10.1097/RTI.0000000000000475 Buy SDC Metrics Abstract We sought to describe incidental imaging features of increased intrapericardial pressure due to pericardial effusion on chest computed tomography (CT) and correlate them with cardiac CT, cardiac magnetic resonance imaging, and echocardiography. It is important for the radiologist to become familiar with imaging findings of increased intrapericardial pressure in the setting of pericardial effusion when identified on chest CT. Recognizing the imaging findings of increased intrapericardial pressure can better guide the care of these patients. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.