PMC7306529_01
Echocardiography image of a massive pericardial effusion.
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Echocardiography (Table 2, Fig. 1) demonstrated large pericardial effusion, with maximum width of fluid up to 38 mm, 24 mm, 35 mm and 22 mm behind LVPW, LV apex, RV and RA, respectively, and collapses of the RA and RV.
Computed tomography image of large pericardial effusion and pericardial mass in pericardial fat tissue (enlargement of pericardial lymph node?) (arrow).
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Micropreparations of lymph nodes No. 17,133,366 (edge part). A) A- giant multi-core cells, B- healthy tissue; B) Granulomas with accumulation of epithelioid cells of macrophages on the periphery (giant multi-core cells) - A- giant multi-core cells, B- healthy tissue; C) Micropreparations of lymph nodes No. 17,133,366 (central part); Granuloma with accumulation of epithelioid cells in the center macrophages - A - focal lymphocytic infiltration. B- healthy tissue D) Pericardial micropreparations No27,133,366 of focal lymphocytic infiltration - A - focal lymphocytic infiltration. B - healthy tissue.
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Histological examination of lymph node revealed non-caseating granulomas with accumulation of epithelioid cells (giant multi-core cells) (Fig. 4A) in the center (Fig. 4B) and along the periphery (Fig. 4C); pericardial specimen demonstrated focal pericardial lymphocytic infiltration (Fig. 4D), the findings associated with sarcoidosis.