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Pericardial effusion Whenever we encounter a large heart figure, we should always be aware of the possibility of pericardial effusion simulating a large heart. On the chest x-ray it looks as if this patient has a dilated heart while on the CT it is clear, that it is the pericardial effusion that is responsible for the enlarged heart figure. #Clinical #Radiology #CXR #CTChest #Pericardial #Effusion #PericardialEffusion #RadiologyAssistant