case_images: PMC6657625_01
case_images: Initial chest x-ray demonstrating pleural effusion and abnormal cardiac silhouette.
case_images: CRIPU2019-4908259.001.jpg
case_images: PMC6657625_01_CRIPU2019-4908259.001.jpg
case_images: fig1
case_images: Chest x-ray was remarkable for bilateral pleural effusions and prominence of the cardiopericardial silhouette consistent with pericardial effusion (Figure 1).
case_images: Demonstrates reaccumulation of pleural and pericardial fluid.
case_images: CRIPU2019-4908259.002.jpg
case_images: PMC6657625_01_CRIPU2019-4908259.002.jpg
case_images: fig2
case_images: CT thorax was obtained. CT demonstrated a reaccumulation of the right pleural effusion and persistent moderate to large pericardial effusion (Figure 2) but surprisingly showed stenosis or occlusion of the superior vena cava (Figure 3).
case_images: Demonstrates the stenotic area in the SVC around the catheter.
case_images: CRIPU2019-4908259.003.jpg
case_images: PMC6657625_01_CRIPU2019-4908259.003.jpg
case_images: fig3
case_images: CT thorax was obtained. CT demonstrated a reaccumulation of the right pleural effusion and persistent moderate to large pericardial effusion (Figure 2) but surprisingly showed stenosis or occlusion of the superior vena cava (Figure 3).
case_images: Echocardiogram prior to pericardial drain placement showing large pericardial effusion.
case_images: CRIPU2019-4908259.004.jpg
case_images: PMC6657625_01_CRIPU2019-4908259.004.jpg
case_images: fig4
case_images: Repeat echocardiogram was performed and worsening pericardial effusion was noted revealing RA collapse and diastolic RV collapse suggestive of cardiac tamponade (Figure 4).