case_images: PMC6174758_01
case_images: Computed tomography of the chest demonstrating pericardial effusion.
case_images: CRIONM2018-5470981.001.jpg
case_images: PMC6174758_01_CRIONM2018-5470981.001.jpg
case_images: fig1
case_images: Patient was sent for CT scan to evaluate for pulmonary embolism, and a moderate pericardial effusion was found (Figure 1).
case_images: Echocardiogram demonstrating a large circumferential effusion (outlined) concerning for impending tamponade.
case_images: CRIONM2018-5470981.002.jpg
case_images: PMC6174758_01_CRIONM2018-5470981.002.jpg
case_images: fig2
case_images: Subsequently, an echocardiogram was done to further delineate the effusion which revealed a large circumferential effusion with mild respiratory variation concerning for impending cardiac tamponade (Figure 2).
case_images: Histopathology remarkable for monoclonal B-cells with significant large cell components.
case_images: CRIONM2018-5470981.003.jpg
case_images: PMC6174758_01_CRIONM2018-5470981.003.jpg
case_images: fig3
case_images: Flow cytometry of the pericardial fluid revealed a population of monoclonal B-cells with significant large cell component (Figure 3).
case_images: Fluorescence in situ hybridization demonstrating t(8; 14). This translocation is between IGH on chromasome 8 and MYC on chromosome 14.
case_images: CRIONM2018-5470981.004.jpg
case_images: PMC6174758_01_CRIONM2018-5470981.004.jpg
case_images: fig4
case_images: B-cell lymphoma with t(8; 14) (Figure 4). Bone marrow biopsy demonstrated monotypic B-cells compatible with the diagnosis of large B-cell lymphoma.