Pericardial effusion

Case contributed by Vincent Tatco


Epigastric discomfort

Patient Data

Age: 20 years
Gender: Male

The cardiac silhouette is enlarged.

There is minimal left pleural effusion.


There is dense pericardial fluid.  The pericardium is thickened.  

Minimal left pleural effusion is demonstrated. 

Annotated image

Pericardial fluid (yellow *) sandwiched by the radiolucent paracardial fat (blue arrows) and epicardial fat (red arrows) resulting to the Oreo cookie sign.

Case Discussion

This is a case of pericardial effusion in a patient suspected of pericarditis.

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