43 year male is complaining of a 4 day history of pain in the left side of his chest. On examination he is tachycardic and cyanotic with a raised JVP. He has a raised temperature and a friction rub was noted on auscultation. Please discuss the x-ray findings.

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Pericardial effusion

Pericardial effusion...urgent echo followed by pericardiocentesis..followed by thorough investigation to rule out cause ..

Massive pericardial effusion causing tamponade. Xray showing water bottle appearance.

Hypotension - shock- peripheral cyanosis can be explained. But rub? is rare
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pericardial effusion

Pericardial effusion

Cardiomegaly.right hilar lymphadenopathy. Ieft sided pleural effusion.widened mediastinum.hyper inflated lung fields.?pericarditis. ?pericardial effusion.

Massive Pericardial Effusion...... Money Bag Appearance...... Needs Urgent Echo....... To confirm Cardiac Tamponade ..... and therapeutic tapping , .....

Massive pericardial effusion with cardiac tamponade , urgent ECHO and pericardialcentesis. There might be pleuritis causing pleural rub
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Massive pericardial effusion with tamponade with pleuritis Acute onset with fever infective etiology rule out tubercular etiology from fluid analysis

In view of short history & x ray findings pericardial effusion likely but 2D ECHO is must to rule out ebstein anamoly in view of cyanosis.

Pericardial effusion causing tamponade. Needs urgent drainage by pericardiocentesis.

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