Demographics:
55 years old, Male
Indication:
Chest pain, dyspnea
Findings
Chest radiograph
- Ill-defined opacity in the lingula
- Streaky bibasilar opacities
- Small pleural effusions
- Right IJ approach Port-A-Cath with tip overlying the superior cavoatrial junction
- Left subclavian approach pacemaker with leads projecting in the right atrium and right ventricle
CT
Chest
- Moderate-sized pericardial effusion
- Moderate-sized bilateral pleural effusions with overlying atelectasis
- Atelectasis/scarring in the lingula
- Widespread bronchial wall thickening
- Small amount of adherent secretions in the lower trachea
- Right IJ approach Port-A-Cath with tip at the superior cavoatrial junction
- Left subclavian approach pacemaker with leads in the right atrium and right ventricle
Upper abdomen
- No acute findings
MSK
- No acute findings
Diagnosis
Pericardial effusion
Sample Report
Moderate-sized pericardial effusion which could relate to the patient's volume status or could be seen with pericarditis in the correct clinical setting.
Moderate-sized bilateral pleural effusions with overlying atelectasis.
Discussion