Presentation
Shortness of breath.
Patient Data
Cardiomegaly with "Oreo cookie sign" suggesting pericardial effusion. Interstitial oedema pattern, small pleural effusions.
Photo illustrates the term "Oreo cookie sign", please see discussion below.
Oreo biscuits. Author: Bruce The Deus. For full attribution, see case discussion.
Case Discussion
The Oreo cookie sign is a finding on a lateral radiograph suggesting the presence of a pericardial effusion. The dark outer cookie pieces of the Oreo cookie correspond to the dark inner epicardial and outer retrosternal paracardial fat. The white inner filling corresponds to the soft tissue density pericardial effusion between the epicardial and paracardial fat.
Image Attribution
Author: Bruce The Deus
Original file: https://commons.wikimedia.org/wiki/File:Oreo_biscuits_(transparent_background).png
License: This work has been released into the public domain by its author, Bruce The Deus at Italian Wikipedia. This applies worldwide.
In some countries this may not be legally possible; if so:
Bruce The Deus grants anyone the right to use this work for any purpose, without any conditions, unless such conditions are required by law.
Modifications: added gray background and labels.
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