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A 36-year-old woman presented with a 1 year history of non-progressive shortness of breath on exertion. On physical examination the patient's vital signs were normal. Findings of the cardiovascular examination, including an electrocardiogram, were unremarkable. Chest radiography showed cardiomegaly with a deformed cardiac silhouette and narrow pedicle (figure 1). Two dimensional echocardiography was suggestive of pericardial effusion which was managed initially as tuberculous effusion. However, the patient did not respond to the treatment. CT followed by MRI were performed …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.