Pericardial effusion

Case contributed by Konstantin Benno Bräutigam


ICU patient.

Patient Data

Age: 75
Gender: Male

Massive cardiomegaly. Drainage due to known pericardial effusion. Bilateral opacities. 

Case Discussion

Cardiomegaly can be simply a result of supine AP projection (hints for AP supine: scapulae intrathoracic, missing gas bubble in fundus, stretched mediastinum). However, in this case the heart is massively enlarged. Pericardial effusion was echographically diagnosed. Note the pericardial drainage which seems to drain insufficiently. Patient is highly at risk for cardiac tamponade.

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Case information

rID: 58321
Case created: 12th Feb 2018
Last edited: 2nd Mar 2018
System: Chest
Inclusion in quiz mode: Included
Institution: Charité Universitätsmedizin Berlin

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