Case: Chest radiograph #13114215
Chest Advanced
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Image: James Heilman, MD via Wikimedia Commons · CC BY-SA 3.0 · source · resized and converted to WebP
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Answer: Pericardial effusion
What to look for in pericardial effusion
- Globular enlarged heart.
- Rapid change from the previous film.
- Clear lungs.
Description by the image author (may be in another language): Pericardial effusion due to malignancy. Note bulbous heart and primary lung cancer in right upper lobe.
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.





