Giant Pericardial Lipoma Inducing Cardiac Tamponade and New Onset Atrial Flutter

Figure 2

CXR/TTE before (left) and after (right) pericardial lipoma resection. (a) Findings: enlarged cardiac silhouette with epicardial fat pad sign. Impression: cardiomegaly with mild left basilar atelectasis. (b) Findings: the cardiomediastinal silhouette appears WNL. No evidence of pulmonary vascular congestion. Impression: no acute process. (c) Findings: moderately sized pericardial effusion presents circumferentially around the entire heart. (d) Findings: no evidence of cardiac tamponade and minimal remnant pericardial effusion.

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