 Standard posteroanterior chest X-ray. CXR of a 49-year-old male who presented with a week of edema involving bilateral lower extremity, thighs, and scrotum, abdominal distention, cough productive of whitish phlegm, 18 pounds weight gain, orthopnea and dyspnea on exertion. The CXR shows enlarged cardiac silhouette, cardiomegaly, and pericardial effusion.