case_images: PMC9897006_01
case_images: EKG obtained upon arrival showing multiple ST-segment elevations (red circles). EKG: electrocardiogram
case_images: cureus-0015-00000033349-i01.jpg
case_images: PMC9897006_01_cureus-0015-00000033349-i01.jpg
case_images: FIG1
case_images: On arrival, EKG showed ST elevation in multiple leads (Figure 1), but his troponin was within normal limits.
case_images: Chest X-ray at the time of initial presentation demonstrating cardiomegaly (arrows)
case_images: cureus-0015-00000033349-i02.jpg
case_images: PMC9897006_01_cureus-0015-00000033349-i02.jpg
case_images: FIG2
case_images: As for imaging studies, cardiomegaly was present on his chest X-ray (Figure 2), and an echocardiogram showed a moderate to large pericardial effusion.