A patient presented to the emergency room with dyspnea. A chest radiograph (A) shows cardiomegaly and widened mediastinum (arrow). Image B shows an enlarged superior vena cava (arrowhead) and mediastinal adenopathy (arrow). Image C shows compression of the right ventricle (arrow) and a large malignant effusion (arrowhead). Cardiac catheterization confirmed tamponade physiology.
CT: computed tomography.
Graphic 93361 Version 2.0
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