PMC7666705_01
chest radiography demonstrating an enlarged heart shadow
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F1
Chest X-ray showed an enlarged heart (Figure 1).
standard 12 leads ECG showing sinus rhythm tachycardia, signs of right atrial dilation and negative T waves in inferior and antero-septo-apical leads
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F2
T waves in inferior and antero-septo-apical leads (Figure 2). TEE showed a worsening of the pericardial effusion but with no signs of right ventricular chambers collapse.
computed tomography scan of the chest showing the fluid collection within the pericardial sleeves
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F3
Cardiac tomography (CT) scan showed a circumferential pericardial effusion with no pericardial thickening or other abnormalities (Figure 3).
echocardiogram demonstrating circumferential pericardial effusion with thickening of the myocardium of the right ventricular wall
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F4
TEE was performed and showed a pericardial effusion with paradoxical septal motion (Figure 4).