One of my new patients this week has a large pericardial effusion which is basically a large sac of fluid that surrounds your heart and won't let it expand to fill with blood. She felt short of breath after getting dialysis on Thursday. This is a life threatening illness but she refused surgery last time she was here. She says she might have it now so we are planning to open her chest tomorrow (if she will let us). Here is her chest CT and xray. Notice the water bottle shaped heart!
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