Fig. 6

Echocardiogram. Four chamber views in diastole a and systole (c). Short axis views in Diastole b and systole (d). Echocardiography demonstrating a large circumferential pericardial effusion (Asterisks) without hemodynamic compromise, mildly dilated left ventricle (LV) with normal wall thickness, and severe globally depressed systolic function with left ventricular ejection fraction of 10%, normal right ventricle (RV) size and mildly reduced right ventricular systolic function