PMC6136560_01
Presenting CXR showing no focal infiltrates or other evidence of cardiopulmonary disease.
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fig1
Initial chest X-ray (CXR) showed no acute cardiopulmonary disease (Figure 1).
Subxiphoid window on bedside echocardiography demonstrating a large pericardial effusion (indicated by the *) associated with right ventricular (RV) and right atrial (RA) collapse (indicated by the arrows).
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fig2
A bedside cardiac ultrasound was performed which demonstrated a large pericardial effusion with tamponade physiology (Figure 2).
(a) Immunohistochemical stain of CD3 lymphocytes in the intraventricular septum (indicated by the arrows), 400x. (b) Hemoxyline and Eosin stain of the intraventricular septum showing hemorrhage and myocyte necrosis, 400x.
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fig3
Immunohistochemistry revealed extensive infiltration of the myocardium with CD3 positive lymphocytes, and hemoxylin and eosin stain demonstrated hemorrhage and myocyte necrosis (Figure 3).