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Tessa Glyn, Beverley Harris and Kate Allen

effusion. She was referred to Cardiology, who felt that the pericardial effusion was chronic and not compromising, but the aetiology was unclear. A cardiac MRI was arranged to better characterise it. At this point, she was also noted to have a total

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Andromachi Vryonidou, Stavroula A Paschou, Fotini Dimitropoulou, Panagiotis Anagnostis, Vasiliki Tzavara and Apostolos Katsivas

bacterial infection. Pleural effusions were managed with repeated punctures and placement of discharge drainage pipes. Figure 1 Echocardiography revealing significant quantity of pericardial fluid. Investigation At initial serologic

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S Hussain, S Keat and S V Gelding

pulmonary embolism, but did identify a pericardial effusion, bilateral small pleural effusions with atelectasis and bilateral axillary lymphadenopathy (up to 2.1 cm). Treatment The patient was treated for DKA and possible lower respiratory tract

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Wann Jia Loh, Kesavan Sittampalam, Suan Cheng Tan and Manju Chandran

showed that the ejection fraction was 70% and the heart valves were unremarkable. A small 2.5×1.3 cm mass was noted on the posterior wall of the right atrium extending superiorly. There was no pericardial effusion. Holter monitoring was done for 24 h, and