Prominent Y Descent in Medicine / Internal Medicine — 56yo Man | Cardiology | SMLE Q#280
SMLE Question #280
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 56-year-old man has 6 months of progressive dyspnea, ankle swelling, abdominal distension, and early satiety. He had pulmonary tuberculosis 15 years ago. Examination shows elevated JVP with a prominent y descent, bilateral pedal edema, shifting dullness, and an early diastolic pericardial knock. Transthoracic echocardiography suggests pericardial thickening with ventricular interdependence, and chest X-ray shows curvilinear calcification over the cardiac silhouette. What is the most appropriate next imaging study to order?
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