<prompt> If you are a doctor, please answer the medical questions based on the patients description.I would like to know a couple questions I had pneumonia and it caused fluid to get around my heart I had a 20 heart. When I went back to the dr I had a 55heart.i feel I have fluid around my heart again in my upper side the left side I take water pills to keep the fluids down ,every time I go to the hospital its over fluids . My upper left side hurts me so bad I can t do anything even standing or a sudden movement it like kills me a.Do you have any suggestions?  <response>: Hello, I have gone through your question. Actually I need your detailed echo report and other investigations to guide you properly. But I presume that you had pericardial effusion with reduced ejection fraction 20. This could be due to viral per and myocarditis secondary to pneumonia. This may be self limiting condition as u mentioned that now EF is 55.in that case you will recover in due course of time. Any possibility other than this needs further work up. My best wishes DT. Teli, MD 