Pericardial effusion

Case contributed by Konstantin Benno Bräutigam
Diagnosis probable


ICU patient.

Patient Data

Age: 75 years
Gender: Male

Massive cardiomegaly. Drainage catheter of a known pericardial effusion. Bilateral lung opacities. 

Case Discussion

Cardiac silhouette enlargement can be simply a result of supine AP projection. However, in this case the cardiac silhouette is massively enlarged, most commonly from cardiomegaly, however, a pericardial effusion was echographically diagnosed. Note the pericardial drainage catheter on the x-ray, which seems to drain insufficiently. The patient is at high risk for cardiac tamponade.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.