A patient with known metastatic breast cancer presents with increasing exertional dyspnoea.
Describe and interpret these scans
Image 1: Apical 4 chamber view:
There is a large pericardial effusion with some associated right sided chamber collapse. There pericardial fluid is echogenic with fine homogeneous echoes seen throughout.
Large echogenic pericardial effusion with associated right sided chamber collapse.
The echogenic nature of the pericardial fluid means it is not a transudate but otherwise is not particularly specific.
Blood, proteinaceous exudate from malignancy or autoimmune inflammatory processes, or purulent fluid from infectious causes can all have a similar appearance.