case_images: PMC10861359_01
case_images: CTPA with pericardial effusion indicated . CTPA: computed tomography angiography
case_images: cureus-0016-00000052227-i01.jpg
case_images: PMC10861359_01_cureus-0016-00000052227-i01.jpg
case_images: FIG1
case_images: The CTPA was reported as negative for PE with a 'large ring-enhancing pericardial effusion, measuring 3.2 cm at maximal depth' (Figure 1), which was 'consistent with pericarditis', 'reflux of contrast to the hepatic veins, consistent with right-heart dysfunction', and a right base pleural effusion (Figure 2).
case_images: CTPA with pleural effusion and pericardial effusion shown. CTPA: computed tomography angiography
case_images: cureus-0016-00000052227-i02.jpg
case_images: PMC10861359_01_cureus-0016-00000052227-i02.jpg
case_images: FIG2
case_images: The CTPA was reported as negative for PE with a 'large ring-enhancing pericardial effusion, measuring 3.2 cm at maximal depth' (Figure 1), which was 'consistent with pericarditis', 'reflux of contrast to the hepatic veins, consistent with right-heart dysfunction', and a right base pleural effusion (Figure 2).
case_images: Pericardial effusion seen on echocardiogram, 2.45 cm at its largest
case_images: cureus-0016-00000052227-i03.jpg
case_images: PMC10861359_01_cureus-0016-00000052227-i03.jpg
case_images: FIG3
case_images: An echocardiogram showed preserved left ventricular function with a moderate-sized pericardial effusion, 2.4 cm at its largest (Figure 3), and no evidence of tamponade.
case_images: Previously noted pericardial fluid with an organized/fibrinous/thrombotic appearance. Regional wall abnormalities and a septal bounce were noted here.
case_images: cureus-0016-00000052227-i04.jpg
case_images: PMC10861359_01_cureus-0016-00000052227-i04.jpg
case_images: FIG4
case_images: A repeat echocardiogram identified new regional wall motion abnormalities, new septal bounce, and an organized/fibrotic/thrombotic pericardial effusion with a thickened pericardium (Figure 4).