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case_images: Two view chest x ray showing massive cardiomegaly vs obscuration of left heart border and hemidiaphragm originally diagnosed as left lower lobe infiltrate due to CAP.
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case_images: He was hospitalized one week earlier and diagnosed with community acquired pneumonia based on his symptoms of exertional dyspnea and chest tightness as well as chest x-ray findings of obscuration of left hemidiaphragm and left heart border and possible infiltrate (Figure 1).
case_images: A small caliber IVC with significantrespirophasic variation. This provided reassurance that this was not tamponade physiology.
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case_images: His inferior vena cava (IVC) showed considerable respiratory variation (Figure 5).