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Coronal (A) and axial (B) planes of the chest CT scan with intravenous contrast showing significant pericardial and pleural effusions with the subtle enhancement of the parietal and visceral pericardium and bilateral pleural loculations.
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Computerized tomography (CT) scan of the chest showed a large pericardial effusion, and bilateral pleural effusions with loculation seen on the left (Fig. 1).
Transthoracic echocardiogram (four-chamber view) showing large circumferential exudative pericardial effusion with substantial mobile adhesions.
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Transthoracic echocardiogram (TTE) confirmed a large circumferential pericardial effusion with fibrinous exudate in the pericardial space (Fig. 2), with right ventricle collapse in diastole, suggestive of cardiac tamponade (Fig. 3).