Presentation
Known metastatic squamous cell carcinoma of the lung. Worsening dyspnea.
Patient Data
Age: 65 years
Gender: Male
From the case:
Large pericardial effusion
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Grossyl enlarged cardiac shadow demonstrating the water bottle sign, bilateral pleural effusion, multiple intrapulmonary masses. Enlarged pulmonary vasculature, diffuse, inhomogenously increased interstitial markings.
From the case:
Large pericardial effusion
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Ultrasound confirmed pericardial effusion with a mean thickness of approximately 30 mm, indicating a significant buildup of fluid in the pericardial sac (>20 mm: >500 ml)
Case Discussion
Echocardiograhy and subsequently pericardiocentesis was performed, 1200 ml of fluid was aspirated from the pericardial sac, which was proved to be malignant by cytology.
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