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Chest x-ray showing marked symmetric cardiomegaly.
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A chest x-ray showed marked symmetric cardiomegaly (Figure 1).
Echocardiogram showing pericardial effusion.
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The diagnosis of a large fibrinous pericardial effusion with signs of hemodynamic compromise was made (Figure 2).
Wet mount preparation of pericardial fluid showing Trichinella spiralis.
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A simple wet mount preparation of the fluid revealed motile (coiling) round worms (with slender anterior ends) identified as T. spiralis (Figure 3).