PMC10160497_01
ECG illustrating diffuse ST-elevations with diffuse PR depressions; sinus tachycardia with heart rate 102; biatrial enlargement present.
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An electrocardiogram (ECG) revealed diffuse ST-segment elevation with PR segment depression in all leads except lead aVR (Fig. 1).
CT pulmonary angiogram showing diffuse opacities suggestive of an infectious etiology along with a right upper lobe bullae consistent with a mycetoma was also noted.
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Given the elevated D-dimer, a follow-up computed tomography (CT) pulmonary angiogram was performed showing diffuse bilateral opacities consistent with multifocal pneumonia, a right upper lobe bullae suggestive of a small mycetoma, and a small pericardial effusion (Fig. 2).
Subcostal TTE view depicting a large pericardial effusion with tamponade physiology and diastole collapse of the right ventricle.
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