Presentation
Chronic cough
Patient Data
Age: 45 years
Gender: Female
From the case:
Pericardial effusion
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Enlarged cardiac silhouette, which has a globular appearance. Small bilateral pleural effusions.
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Comparison with x-ray from one month prior shows a normal cardiomediastinal contour.
Case Discussion
Comparing with prior films to assess the rate of change in cardiac silhouette size is the key to making the diagnosis of pericardial effusion. However certain causes of cardiac enlargement could mimic this appearance and speed of onset.
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