PMC2815824_01
Initial chest X-ray showing cardiomegaly.
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F1
A 43-year-old woman was referred to our hospital for cardiomegaly on chest X-ray (Fig. 1).
Echocardiography showing a large amount of pericardial effusion.
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F2
However, echocardiography one month later revealed a large amount of pericardial effusion without evidence of hemodynamic compromise (Fig. 2), and she was readmitted to our hospital for further evaluation.
Pericardial fluid showing its milky-yellowish appearance.
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F3
Repeated pericardiocentesis was performed, and an immediate gushing out of 700 mL of a milky-yellowish fluid ensued (Fig. 3).
Neck sonography showing 1.9 cm sized multilocular, compressible cystic lesion between the sternocleidomastoid muscle and the internal jugular vein of the left neck.
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F4
These findings were compatible with cystic hygroma (Fig. 4).
Six months follow-up chest X-ray showing nearly normal size of heart.
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F5
She remained totally asymptomatic without interval changes of heart size on chest X-ray (Fig. 5) or clinical signs of cardiac tamponade at the 6 month follow-up.