Presentation
Cough and hypoxia.
Patient Data
Age: 65
Gender: Male
From the case:
Pericardial effusion
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Cardiac silhouette is enlarged. Basal interstitial thickening, which may reflect lower respiratory tract infection, inflammation or interstitial edema. No pleural effusion.
From the case:
Pericardial effusion
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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.