A patient presented with chronic constrictive pericarditis, ascites, hepatomegaly, pedal edema, congestive cardiac failure, and was probably tubercular in etiology. An echocardiogram showed pericardial thickening, diastolic dysfunction of both ventricles, increased respiratory variation of early diastolic velocities, dilated and non-collapsible IVC, increased hepatic doppler flow reversal, elevated PA pressure, severe TR, and diastolic collapse of the RV. The echocardiogram confirmed the diagnosis of chronic constrictive pericarditis.