Pericardial calcification (PC) is a very rare condition, usually caused by infection, trauma, or chronic inflammation. The clinical consequence of PC presents as constrictive pericarditis, which causes severe diastolic dysfunction. We present a case of a 42-year-old male patient with a history of tuberculosis pericardial effusion about 20 years ago who presented with constrictive pericarditis with signs and symptoms of right heart failure. Non-invasive multimodalities imaging including chest X-ray, echocardiography, and cardiac computed tomography showed a PC on the right-anterior side of the heart causing constrictive pericarditis. The patient successfully underwent a pericardiectomy procedure, and the symptoms improved 3 months after surgery.