case_images: PMC7666705_01
case_images: chest radiography demonstrating an enlarged heart shadow
case_images: PAMJ-36-375-g001.jpg
case_images: PMC7666705_01_PAMJ-36-375-g001.jpg
case_images: F1
case_images: Chest X-ray showed an enlarged heart (Figure 1).
case_images: standard 12 leads ECG showing sinus rhythm tachycardia, signs of right atrial dilation and negative T waves in inferior and antero-septo-apical leads
case_images: PAMJ-36-375-g002.jpg
case_images: PMC7666705_01_PAMJ-36-375-g002.jpg
case_images: F2
case_images: T waves in inferior and antero-septo-apical leads (Figure 2). TEE showed a worsening of the pericardial effusion but with no signs of right ventricular chambers collapse.
case_images: computed tomography scan of the chest showing the fluid collection within the pericardial sleeves
case_images: PAMJ-36-375-g003.jpg
case_images: PMC7666705_01_PAMJ-36-375-g003.jpg
case_images: F3
case_images: Cardiac tomography (CT) scan showed a circumferential pericardial effusion with no pericardial thickening or other abnormalities (Figure 3).
case_images: echocardiogram demonstrating circumferential pericardial effusion with thickening of the myocardium of the right ventricular wall
case_images: PAMJ-36-375-g004.jpg
case_images: PMC7666705_01_PAMJ-36-375-g004.jpg
case_images: F4
case_images: TEE was performed and showed a pericardial effusion with paradoxical septal motion (Figure 4).