PMC6276432_01
Diffuse pericardial thickening and adjacent fat stranding.
CRIC2018-4739830.001.jpg
PMC6276432_01_CRIC2018-4739830.001.jpg
fig1
Of note, he underwent an ischemic evaluation one week prior that was significant for newly identified left pleural effusion, moderate pericardial effusion, and mild pericardial thickening on chest CT (Figure 1).
RA diastolic collapse prior to pericardiocentesis.
CRIC2018-4739830.002.jpg
PMC6276432_01_CRIC2018-4739830.002.jpg
fig2
Transthoracic echocardiogram (TTE) was performed which revealed that the effusion increased by greater than one centimeter since the most recent echocardiogram nine days prior and was now large and circumferential with early right ventricular diastolic collapse concerning for tamponade physiology (Figures 2 and 3).
RV diastolic collapse prior to pericardiocentesis.
CRIC2018-4739830.003.jpg
PMC6276432_01_CRIC2018-4739830.003.jpg
fig3
Transthoracic echocardiogram (TTE) was performed which revealed that the effusion increased by greater than one centimeter since the most recent echocardiogram nine days prior and was now large and circumferential with early right ventricular diastolic collapse concerning for tamponade physiology (Figures 2 and 3).
Recurrent circumferential pericardial effusion and large pleural effusion demonstrated prior to pericardial window.
CRIC2018-4739830.004.jpg
PMC6276432_01_CRIC2018-4739830.004.jpg
fig4
Repeat TTE showed a large effusion and recurrent evidence of tamponade physiology (Figure 4).
Resolution to trace pericardial effusion 8 weeks after completion of therapy.
CRIC2018-4739830.005.jpg
PMC6276432_01_CRIC2018-4739830.005.jpg
fig5
Also noted on follow-up was resolution of the pericardial effusion as seen on TTE (Figures 5 and 6).
TTE performed on hospital follow-up showing no significant pericardial effusion.
CRIC2018-4739830.006.jpg
PMC6276432_01_CRIC2018-4739830.006.jpg
fig6
Also noted on follow-up was resolution of the pericardial effusion as seen on TTE (Figures 5 and 6).