1. A Silent Relic: Uremic Pericardial Effusion
Michael A. Santos, MD, Jeremy Spinazzola, DO, Andry Van de Louw, MD, PhD 
The American Journal of Medicine 
Volume 129, Issue 10, Pages (October 2016)
DOI: /j.amjmed
Copyright © 2016 Elsevier Inc. Terms and Conditions

2. Figure 1
A chest radiograph obtained on admission demonstrated a markedly enlarged cardiopericardial silhouette and a “water-bottle” configuration. A left retrocardiac density was likely related to compressive atelectasis of the left lower lobe imparted by the large pericardial effusion.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2016 Elsevier Inc. Terms and Conditions

3. Figure 2
A large pericardial effusion (red arrows) and diastolic collapse of the right ventricle, evidence of cardiac tamponade, were seen on a transthoracic echocardiogram (apical 4-chamber view).
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2016 Elsevier Inc. Terms and Conditions

4. Figure 3
Transthoracic echocardiography (parasternal long-axis view) showed the uremic pericardial effusion posteriorly (blue arrow) and, to a lesser extent, anterior to the right ventricle (red arrowheads). Ao = aortic outflow tract; LA = left atrium; LV = left ventricle; PW = posterior wall.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2016 Elsevier Inc. Terms and Conditions