Presentation
Shortness of breath.
Patient Data
Age: 10 years
Gender: Male
From the case:
Massive pericardial effusion, nutmeg liver
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Axial C+ portal venous phase

Massive pericardial effusion. Enlarged upper mediastinal lymph nodes. Nutmeg liver. Ascites.
Case Discussion
Massive pericardial effusion resulting in elevated right heart pressures and nutmeg liver. The cause of the effusion is not known but may be related to chronic parasitic infection due to the endemic area.