Case contributed by Hidayatullah Hamidi
Diagnosis almost certain


Septic patient, severe dyspnea and cough.

Patient Data

Age: 15 years
Gender: Female



Marked pericardial effusion with surrounding pericardial enhancement.

Multiple enlarge paratracheal, subcarinal, prevascular and hilar lymph nodes.

Right-sided moderate pleural effusion with pleural enhancement (split pleura sign).

Volume loss of right lung with atelectatic bands.

Case Discussion

The overall features are representing infectious pericarditis with right side pleural empyema.

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