PMC4040935_01
Pre-treatment computed tomography (CT) image with intravenous (IV) contrast, demonstrating bilateral pleural effusions (white arrows) and moderate-sized pericardial effusion (black arrows), prior to thoracentesis, pericardiocentesis, or chemotherapy. Black asterisk = atelectatic lung.
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F1
The patient had pericardial and exudative pleural effusions (Figure 1) causing increased oxygen requirement.
Post-treatment CT image after two cycles of fludarabine and cytarabine and four cycles of decitabine alone. White arrow = residual small right pleural effusion. No left pleural effusion or pericardial effusion. White asterisk = liver.
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F2
His performance status improved back to 1, and imaging continued to demonstrate near total resolution of effusions in the absence of requiring any further thoracenteses (Figure 2).