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Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate pericardial bleeding. This patient had a change in the heart configuration and pericardial bleeding was suspected. Ultrasound demonstrated only a minimal pericardial effusion. Continue with the CT. #Clinical #Radiology #CTS #CXR #PostSurgical #Hemorrhagic #Pericardial #Effusion #PericardialEffusion #RadiologyAssistant