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There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow). The left ventricle id filled with contrast and is compressed (red arrow). At surgery a large hematoma in the posterior part of the pericardium was found. Notice that on the anterior side there is only a minimal collection of pericardial fluid, which explains why the ultrasound examination underestimated the amount of pericardial fluid. #Clinical #Radiology #CTS #CTChest #PostSurgical #Hemorrhagic #Pericardial #Effusion #PericardialEffusion #RadiologyAssistant