Presentation
Septic patient, severe dyspnea and cough.
Patient Data
Age: 15 years
Gender: Female
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Axial lung window

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.