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A 50-year-old female with non-small cell lung cancer and shortness of breath. CT shows bilateral pleural effusions (black arrows) and a moderate sized pericardial effusion (white arrow). Subsequent echocardiogram confirmed a moderate sized pericardial effusion and showed evidence of early hemodynamic compromise. Note right lower lobe collapse (*) due to a more superior, central, obstructing bronchial mass (not shown).
