Constrictive pericarditis TSE image demonstrates the marked thickening of the pericardium. The “real time” images demonstrate the septal push into the LV during inhalation. Retrospectine TrueFISP cine images demonstrate a marked septal bounce This patient is status post orthotopic heart transplant in 2001. He presented with elevated right heart pressure and dizziness. You can see in the images below a markedly thickened pericardium (measuring 9mm) as well as the septal bounce on the cine images. “real time” imaging during inhalation also demonstrates the septum pushing into the LV.