Fig. 1.

A 12-lead electrocardiogram showed sinus rhythm and poor R wave progression in the precordial leads (a). One month before, a chest radiography showed pulmonary fibrosis with a cardiothoracic ratio (CTR) of 57% (b). On admission, a chest radiography showed generalized cardiac enlargement with a CTR of 61% (c). Two-dimensional transthoracic echocardiography showed moderate pericardial effusion (d). One week after treatment with diuretics, a follow-up transthoracic echocardiography showed an increased pericardial effusion volume and conspicuous fibrin deposition (e, arrows).

PE, pericardial effusion; LV, left ventricle.