case_images: PMC7450287_01
case_images: (A) Computed tomography (CT) chest without contrast coronal view
  demonstrating large mediastinal lymphadenopathy (orange arrows). (B) CT
  chest without contrast axial view also demonstrating large mediastinal
  lymphadenopathy (orange arrows).
case_images: 10.1177_2324709620951345-fig1.jpg
case_images: PMC7450287_01_10.1177_2324709620951345-fig1.jpg
case_images: fig1-2324709620951345
case_images: During further workup, he was found to have large mediastinal lymphadenopathy and a right middle lobe thin-walled cavitary lesion with multifocal ground-glass opacities (Figure 1).
case_images: Transthoracic echocardiogram parasternal long-axis view showing moderate to
  large circumferential effusion (orange arrows). The patient subsequently
  underwent drainage of pus.
case_images: 10.1177_2324709620951345-fig2.jpg
case_images: PMC7450287_01_10.1177_2324709620951345-fig2.jpg
case_images: fig2-2324709620951345
case_images: A transthoracic echo showed moderate to large circumferential pericardial effusion with tamponade physiology (Figures 2 and 3).
case_images: Transthoracic echocardiogram apical 4-chamber view also showing moderate to
  large circumferential effusion (orange arrows). Cultures of the pus that was
  subsequently drawn grew Streptococcus anginosus and
  Actinomyces odontolyticus.
case_images: 10.1177_2324709620951345-fig3.jpg
case_images: PMC7450287_01_10.1177_2324709620951345-fig3.jpg
case_images: fig3-2324709620951345
case_images: A transthoracic echo showed moderate to large circumferential pericardial effusion with tamponade physiology (Figures 2 and 3).