PMC7271284_01
Echocardiography:subcostal four-chamber view. PC:encapsulated pericardial effusion with fibrinous septa compressing the right atrium (RA).
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The transthoracic echocardiography revealed a large quantity of pericardial fluid (predominantly near to the right ventricle and right atrium:Figure 1) associated with typical signs of cardiac tamponade; hence, an urgent pericardiocentesis was performed with a good clinical result.
Computed tomography of the chest. PC:encapsulated pericardial effusion; PL:bilateral pleural effusion; T:tumoral mass in the right inferior lobe.
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fig2
Thoraco-abdominal computed tomography (CT), with pulmonary angiography, showed a diffuse, inhomogeneous opacity in the right inferior lobe (Figure 2) and a right-sided ovarian (tumoral) mass.
PMC7271284_02
Continuous-wave Doppler interrogation of tricuspid regurgitation. Systolic gradient of 106 mmHg between the right ventricle and right atrium, revealing severe pulmonary hypertension.
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fig3
Routine transthoracic echocardiographic examination revealed dilated right heart cavities and severe tricuspid regurgitation with severe pulmonary hypertension (systolic pulmonary arterial pressure about 120 mmHg, Figure 3).
Abdominal computed tomography showing a large quantity of ascites (a).
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fig4
CT imaging of the abdomen and thorax, and a tumor marker screening, including CA-125 were performed. CT examination confirmed the large intra-abdominal collection (Figure 4) and a right pleural effusion.