Presentation
Progressive exercise intolerance and shortness of breath.
Patient Data
Age: 40 years
Gender: Female
From the case:
Pericardial effusion
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There is markedly enlarged cardiac silhouette with sagging appearance of its margins on both sides resulting to a water bottle configuration.
From the case:
Pericardial effusion
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Annotated image demonstrating the water bottle sign.
Author: Vincent Tatco
License: CC-NC-BY-SA
Case Discussion
This case is an echocardiographically proven massive pericardial effusion presenting with the "water bottle sign" on chest radiography. The fluid-filled pericardial sac casts a cardiac silhouette that resembles an old-fashioned leather water bottle.