PMC239964_01
Chest roentgenogram showing increased cardiac shadow due to pericardial effusion.
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F1
Admission chest X-ray showed increased cardiothoracic ratio without pulmonary congestion (Figure 1).
CT scan of the thorax showing pericardial effusion. 1. Lung, 2. Pericardial fat, 3. Pericardial effusion, 4. Heart, 5. Thoracic aorta.
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F2
A thoracic CT scan demonstrated a large pericardial effusion without any evidence of intrathoracic lymphadenopathy, superior vena cava obstruction or metastases (Figure 2).
Aspiration cytology smear of centrifuged pericardial fluid showing malignant cells (Hematoxylin and Eosin x 400).
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F3
Cytologic examination was positive for malignant cells having features of adenocarcinoma (Figure 3).
Normal chest roentgenogram 10 days after the intrapericardial chemotherapy.
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F4
The patient underwent chest X-rays and three echocardiograms during the next 10 days which revealed no recurrent pericardial effusion (Figure 4 and 5).
Post treatment 2-D and M-mode echocardiogram exhibiting no fluid accumulation and normal LV function.
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F5
The patient underwent chest X-rays and three echocardiograms during the next 10 days which revealed no recurrent pericardial effusion (Figure 4 and 5).