case_images: PMC6276432_01
case_images: Diffuse pericardial thickening and adjacent fat stranding.
case_images: CRIC2018-4739830.001.jpg
case_images: PMC6276432_01_CRIC2018-4739830.001.jpg
case_images: fig1
case_images: Of note, he underwent an ischemic evaluation one week prior that was significant for newly identified left pleural effusion, moderate pericardial effusion, and mild pericardial thickening on chest CT (Figure 1).
case_images: RA diastolic collapse prior to pericardiocentesis.
case_images: CRIC2018-4739830.002.jpg
case_images: PMC6276432_01_CRIC2018-4739830.002.jpg
case_images: fig2
case_images: Transthoracic echocardiogram (TTE) was performed which revealed that the effusion increased by greater than one centimeter since the most recent echocardiogram nine days prior and was now large and circumferential with early right ventricular diastolic collapse concerning for tamponade physiology (Figures 2 and 3).
case_images: RV diastolic collapse prior to pericardiocentesis.
case_images: CRIC2018-4739830.003.jpg
case_images: PMC6276432_01_CRIC2018-4739830.003.jpg
case_images: fig3
case_images: Transthoracic echocardiogram (TTE) was performed which revealed that the effusion increased by greater than one centimeter since the most recent echocardiogram nine days prior and was now large and circumferential with early right ventricular diastolic collapse concerning for tamponade physiology (Figures 2 and 3).
case_images: Recurrent circumferential pericardial effusion and large pleural effusion demonstrated prior to pericardial window.
case_images: CRIC2018-4739830.004.jpg
case_images: PMC6276432_01_CRIC2018-4739830.004.jpg
case_images: fig4
case_images: Repeat TTE showed a large effusion and recurrent evidence of tamponade physiology (Figure 4).
case_images: Resolution to trace pericardial effusion 8 weeks after completion of therapy.
case_images: CRIC2018-4739830.005.jpg
case_images: PMC6276432_01_CRIC2018-4739830.005.jpg
case_images: fig5
case_images: Also noted on follow-up was resolution of the pericardial effusion as seen on TTE (Figures 5 and 6).
case_images: TTE performed on hospital follow-up showing no significant pericardial effusion.
case_images: CRIC2018-4739830.006.jpg
case_images: PMC6276432_01_CRIC2018-4739830.006.jpg
case_images: fig6
case_images: Also noted on follow-up was resolution of the pericardial effusion as seen on TTE (Figures 5 and 6).