1. An Unusual Case of Postpartum Dyspnea
Avinash Ramdass, MD, Tauseef Qureshi, MD, Jasdip Matharu, MD, James Cury, MD, Vandana Seeram, MD 
CHEST 
Volume 147, Issue 2, Pages e38-e43 (February 2015)
DOI: /chest
Copyright © 2015 The American College of Chest Physicians Terms and Conditions

2. Figure 1
A, Portable erect chest roentgenogram showing a globular heart, moderate-sized bilateral pleural effusions, increased interstitial lung markings, and hilar prominence. B, ECG showing electrical alternans and low-voltage complexes in the inferior leads. C, Two-dimensional echocardiogram demonstrating large pericardial effusion measuring 3.2 cm at lateral wall of the left ventricle, 2.4 cm at the right atrium, and 3 cm anterior to the right ventricle free wall. Right ventricle and right atrium collapse was noted (Video 1). D, Hematoxylin-and-eosin-stained cytospin preparation of pericardial fluid revealing numerous reactive lymphocytes and few mesothelial cells (original magnification × 200).
CHEST  , e38-e43DOI: ( /chest )
Copyright © 2015 The American College of Chest Physicians Terms and Conditions

3. Figure 1
A, Portable erect chest roentgenogram showing a globular heart, moderate-sized bilateral pleural effusions, increased interstitial lung markings, and hilar prominence. B, ECG showing electrical alternans and low-voltage complexes in the inferior leads. C, Two-dimensional echocardiogram demonstrating large pericardial effusion measuring 3.2 cm at lateral wall of the left ventricle, 2.4 cm at the right atrium, and 3 cm anterior to the right ventricle free wall. Right ventricle and right atrium collapse was noted (Video 1). D, Hematoxylin-and-eosin-stained cytospin preparation of pericardial fluid revealing numerous reactive lymphocytes and few mesothelial cells (original magnification × 200).
CHEST  , e38-e43DOI: ( /chest )
Copyright © 2015 The American College of Chest Physicians Terms and Conditions

4. Figure 1
A, Portable erect chest roentgenogram showing a globular heart, moderate-sized bilateral pleural effusions, increased interstitial lung markings, and hilar prominence. B, ECG showing electrical alternans and low-voltage complexes in the inferior leads. C, Two-dimensional echocardiogram demonstrating large pericardial effusion measuring 3.2 cm at lateral wall of the left ventricle, 2.4 cm at the right atrium, and 3 cm anterior to the right ventricle free wall. Right ventricle and right atrium collapse was noted (Video 1). D, Hematoxylin-and-eosin-stained cytospin preparation of pericardial fluid revealing numerous reactive lymphocytes and few mesothelial cells (original magnification × 200).
CHEST  , e38-e43DOI: ( /chest )
Copyright © 2015 The American College of Chest Physicians Terms and Conditions

5. Figure 1
A, Portable erect chest roentgenogram showing a globular heart, moderate-sized bilateral pleural effusions, increased interstitial lung markings, and hilar prominence. B, ECG showing electrical alternans and low-voltage complexes in the inferior leads. C, Two-dimensional echocardiogram demonstrating large pericardial effusion measuring 3.2 cm at lateral wall of the left ventricle, 2.4 cm at the right atrium, and 3 cm anterior to the right ventricle free wall. Right ventricle and right atrium collapse was noted (Video 1). D, Hematoxylin-and-eosin-stained cytospin preparation of pericardial fluid revealing numerous reactive lymphocytes and few mesothelial cells (original magnification × 200).
CHEST  , e38-e43DOI: ( /chest )
Copyright © 2015 The American College of Chest Physicians Terms and Conditions

6. Figure 2
Acid-fast stain performed on the cell block prepared from the pericardial fluid revealed several acid-fast positive mycobacterial forms (two mycobacteria are visible in the photomicrograph) (original magnification × 600).
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Copyright © 2015 The American College of Chest Physicians Terms and Conditions

7. Figure 3
A, B, Chest CT scan showing (A) enlarged low-density ring enhancing lymphadenopathy and (B) enlarged mediastinal and perivascular lymphadenopathy and pericardial thickening.
CHEST  , e38-e43DOI: ( /chest )
Copyright © 2015 The American College of Chest Physicians Terms and Conditions

8. Figure 3
A, B, Chest CT scan showing (A) enlarged low-density ring enhancing lymphadenopathy and (B) enlarged mediastinal and perivascular lymphadenopathy and pericardial thickening.
CHEST  , e38-e43DOI: ( /chest )
Copyright © 2015 The American College of Chest Physicians Terms and Conditions