PMC5633160_01
A: Initial echocardiogram, subcostal view; Pericardial effusion due to effusive pericarditis. B, C: Early CT-scan, axial and coronal views; Severe pericardial effusion, slight thickening of the pericardium. D: Preoperative CT-scan, axial view; Minimal pericardial effusion with gross thickening of the pericardium.
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Transthoracic echocardiography revealed concentric pericardial effusion measuring 16 mm, elevated central venous pressure, normal chamber dimensions and wall thickness, no valve disease and normal left ventricular systolic and diastolic function (Fig. 1A). Computed tomography (CT) scan revealed thickening of the pericardium, pericardial - and pleural effusions, but no other abnormalities (Fig. 1B, C).