case_images: PMC10831924_01
case_images: Initial electrocardiogram (EKG) showing abnormal R-wave progression and early transition
case_images: cureus-0016-00000051505-i01.jpg
case_images: PMC10831924_01_cureus-0016-00000051505-i01.jpg
case_images: FIG1
case_images: Her electrocardiogram (EKG) showed abnormal R-wave progression and early transition (Figure 1).
case_images: Initial chest X-ray on day one of admission was unremarkable
case_images: cureus-0016-00000051505-i02.jpg
case_images: PMC10831924_01_cureus-0016-00000051505-i02.jpg
case_images: FIG2
case_images: The initial chest X-ray on the day of admission (Figure 2) was unremarkable.
case_images: Initial transthoracic echo on admission showing no pericardial effusion
case_images: cureus-0016-00000051505-i03.jpg
case_images: PMC10831924_01_cureus-0016-00000051505-i03.jpg
case_images: FIG3
case_images: An echocardiogram on the day of admission (Figure 3) revealed no pericardial effusion, normal systolic and diastolic function, and left ventricular ejection fraction (LVEF) of 55-60%.
case_images: Sinus tachycardia with acute infarct of inferior (left circumflex artery) and lateral leads, with electrical alternans.
case_images: cureus-0016-00000051505-i04.jpg
case_images: PMC10831924_01_cureus-0016-00000051505-i04.jpg
case_images: FIG4
case_images: Her EKG showed sinus tachycardia with acute infarct of the inferior (left circumflex artery) and lateral leads, with electrical alternans. (Figure 4).
case_images: Chest X-ray on day three of admission showing interval cardiomegaly
case_images: cureus-0016-00000051505-i05.jpg
case_images: PMC10831924_01_cureus-0016-00000051505-i05.jpg
case_images: FIG5
case_images: Interval chest X-ray showed cardiomegaly and large bilateral pleural effusions (Figure 5), and chest tubes were placed.
case_images: Transthoracic echo on day three showing moderate pleural effusion (orange arrow)
case_images: cureus-0016-00000051505-i06.jpg
case_images: PMC10831924_01_cureus-0016-00000051505-i06.jpg
case_images: FIG6
case_images: A transthoracic echocardiogram on day three showed moderate pleural effusion (Figure 6).
case_images: Pathology of bone marrow biopsy showing hypercellular marrow for age (90-100%) with trilineage hematopoiesis.
case_images: cureus-0016-00000051505-i07.jpg
case_images: PMC10831924_01_cureus-0016-00000051505-i07.jpg
case_images: FIG7
case_images: Bone marrow biopsy showed hypercellular marrow for age (90-100%) with trilineage hematopoiesis (Figure 7), no granuloma or metastatic carcinoma was seen.