Pericardial effusion

Case contributed by Dr Henry Knipe

Presentation

Cough and hypoxia.

Patient Data

Age: 65
Gender: Male
X-ray

Cardiac silhouette is enlarged. Basal interstitial thickening, which may reflect lower respiratory tract infection, inflammation or interstitial oedema. No pleural effusion.

CT

No filling defect demonstrated within the pulmonary arteries. Pericardial effusion (simple fluid density), measuring up to 21 mm in depth.

Case Discussion

This case demonstrates that not all enlarged cardiac silhouettes on chest x-ray are due to cardiomegaly. 

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Case information

rID: 34431
Case created: 19th Feb 2015
Last edited: 16th Sep 2017
Systems: Chest, Cardiac
Inclusion in quiz mode: Included

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