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On a recent x-ray the scar in the pericardium that was round as a quarter has sagged and is like a new moon with the cup upward. Does this mean anything?
For some insight, scarring can prevent the heart from expanding to collect blood from the body. This limits the ability of the heart to function because it cannot collect blood and pump it to the lungs and then back to the body. The heart is constricted and cannot dilate normally. That would be the worst case scenario.
The symptoms will be shortness of breath depending on the degree of inflammation as well as fatigue and chest pain.