PMC7450287_01
(A) Computed tomography (CT) chest without contrast coronal view
demonstrating large mediastinal lymphadenopathy (orange arrows). (B) CT
chest without contrast axial view also demonstrating large mediastinal
lymphadenopathy (orange arrows).
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During further workup, he was found to have large mediastinal lymphadenopathy and a right middle lobe thin-walled cavitary lesion with multifocal ground-glass opacities (Figure 1).
Transthoracic echocardiogram parasternal long-axis view showing moderate to
large circumferential effusion (orange arrows). The patient subsequently
underwent drainage of pus.
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A transthoracic echo showed moderate to large circumferential pericardial effusion with tamponade physiology (Figures 2 and 3).
Transthoracic echocardiogram apical 4-chamber view also showing moderate to
large circumferential effusion (orange arrows). Cultures of the pus that was
subsequently drawn grew Streptococcus anginosus and
Actinomyces odontolyticus.
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A transthoracic echo showed moderate to large circumferential pericardial effusion with tamponade physiology (Figures 2 and 3).