PMC7560630_01
On the top the time-line of patient's history. On the left: the contrast-enhanced computed tomogram revealed bilateral pleural effusions, fluid in peritoneal cavity and prominent appendix with surrounding inflammatory changes containing an appendicolith of size 19 mm x 12 mm (the blue arrow). On the right: heart magnetic resonance imaging with intravenous contrast medium showing a process in the pericardium (the green arrow).
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Contrast-enhanced computed tomogram revealed pericardiac and bilateral pleural effusions, moreover an appendix with appendicolith (Fig. 1). Mycoplasma tuberculosis, Toxoplasma gondii, Ebstein-Barr virus, Cytomegalovirus, hepatic viruses, Chlamydia trachomatis, yersinia enterocolica, Candida etc). Moreover, heart magnetic resonance imaging was performed and, based on the results, the patient was diagnosed with restrictive pericarditis (Fig. 1).