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Status post pericardiocentesis; a pericardial drain is seen in place.
Mildly thickened & enhancing pericardium with mild residual pericardial effusion is noted. Multiple enlarged necrotic mediastinal lymph nodes, suspicious of an infectious etiology, such as tuberculosis (TB) are noted; other possibilities include metastasis from an unknown primary. Mild bilateral pleural effusions with consolidation/partial collapse in the underlying lower lobes. A few scattered atelectatic bands are also seen in both lungs.