Fig. 4
From: Imaging of urgencies and emergencies in the lung cancer patient
A 73-year-old woman with a known stage IV non-small cell lung cancer presented during follow-up with symptoms of chest pain, increasing dyspnea and fatigue. a Contrast-enhanced axial CT image in mediastinal window setting depicts a massive pericardial effusion without prominent pericardial thickening, nodularities or enhancement. b, c Axial CT images at the level of the upper abdomen show an enlargement of the inferior vena cava with contrast reflux (double yellow arrow), periportal oedema (yellow arrow) and gallbladder oedema (yellow asterisk) as signs of right heart failure. Findings are compatible with cardiac tamponade. The woman was referred for urgent cardiac work-up and drainage of the cardiac fluid