PMC4546713_01
(A): chest X-ray on admission showing a massive enlargement of the cardiac silhouettewithout pleural effusions; (B): pericardial effusion reaching 23 mm at the thickest point with thoracic tomography; (C, D): pancreatic, peripancreatic inflammation and peripancreaticlocular fluidwith abdominal tomography
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Chest X-ray on admission showed a massive enlargement of the cardiac silhouette without pleural effusions (Figure 1 (A)) and echocardiography (ECO) showed pleural effusion of 21 mm in size at the widest point. Abdominal and thoracic tomography demonstrated pericardial effusion reaching 23 mm in size at the thickest point, multiple lymph nodes of 20x11 mm in size at the mediastinal and hilar regions, inflammation in the pancreas and peripancreatic fluid collection (Figure 1 (B,C,D)).