Pericardial effusion

Case contributed by Konstantin Benno Bräutigam

Presentation

ICU patient.

Patient Data

Age: 75
Gender: Male
X-ray

Massive cardiomegaly. Drainage catheter of a known pericardial effusion. Bilateral lung opacities. 

Case Discussion

Cardiac silhouette enlargement can be simply a result of supine AP projection. However, in this case the cardiac silhouette is massively enlarged, most commonly from cardiomegaly, however, a pericardial effusion was echographically diagnosed. Note the pericardial drainage catheter on the x-ray, which seems to drain insufficiently. The patient is at high risk for cardiac tamponade.

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Case information

rID: 58321
Case created: 12th Feb 2018
Last edited: 4th Mar 2018
Systems: Cardiac, Chest
Inclusion in quiz mode: Included
Institution: Charité Universitätsmedizin Berlin

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