31 year-old man presenting to the emergency department with:

Cough and blood tinged sputum (2 weeks)

Dypsnea (1 week)

3 pillow orthopnea (1 week)

Paroxysmal nocturnal dyspnea

All of these symptoms have been intensifying over the past 2 days

Chest radiograph on presentation

Figure 1

Interpretation?

Echocardiogram after pericardial drainage

Figure 2: 4 Chamber

Figure 3: 4 Chamber Doppler (MV plane)

Figure 4: RVOT

Figure 5: RVOT Doppler

Interpretation?

What nuclear medicine study may be helpful? 

Figure 6

Figure 7

Figure 8

Figure 9

Figure 10

Figure 11

Figure 12

Figure 13

Interpretation and next step in management?

Case [View Case with Diagnosis]Owner(s): Andrew Homb and Jonathan McConathyLast Updated: 12-07-2011
Anatomy: Cardiopulmonary   Pathology: Neoplasm
Modality: Conventional Radiograph, US, PETAccess Level: Readable by all users, writable by NucMed Certifiers
Keywords: primary cardiac lymphoma

Case has been viewed 31 times.
Certified by Jonathan McConathy on 04-20-2011

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