Very large low-density pericardial effusion measuring up to 3.9 cm in depth.
A lobulated fluid collection is seen deep to the left pectoralis major which extends into the extrapleural/pleural space of the left apex as well as the left axilla. There are multiple small locules of gas within this collection, in close proximity to the costochondral joint of the first rib which has a slightly irregular appearance.
A 5.7cm filling defect is seen within the left brachiocephalic vein which appears to extend into the subclavian and brachial veins. There is poor opacification of the left internal jugular vein.
Small bilateral pleural effusions with associated passive atelectasis.
Normal appearance of the tracheobronchial tree.
Prominent lymph nodes within the left superior mediastinum, possibly reactive in nature.
Ascites within the visualised abdomen.