PMC2918838_01
CT scan during the first presentation (January 2008) revealed an abundant pericardial effusion with thickness of the left pericardium.
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F1
Thereafter a CT scan confirmed the finding of massive pericardial effusion and thickening of the left pericardium, no other alterations were reported (fig. 1).
Two months after admission (March 2008), CT scan showed no pericardial effusion but bilateral lung metastasis with pleural effusion.
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F2
Multiple lung nodules and bilateral pleural effusions were found (fig. 2).
Chest X-ray in May 2008 revealed bilateral pleural effusion, treated with drainage.
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F3
After a few weeks her respiratory symptoms worsened markedly and pleural tube drainage was required on both sides (fig. 3).