RT Journal
A1 Gabryel P, Gąsiorowski Ł, Gałęcki B, Dyszkiewicz W
T1 IMage of the month—quiz case
JF JAMA Surgery
JO JAMA Surgery
YR 2013
FD February 1
VO 148
IS 2
SP 205
OP 205
DO 10.1001/jamasurgery.2013.418a 10.1001/jamasurgery.2013.418b
UL http://dx.doi.org/10.1001/jamasurgery.2013.418a 10.1001/jamasurgery.2013.418b
AB 
A 63-year-old woman who had a left hemicolectomy 3 years ago (secondary to adenocarcinoma of splenic curvature of colon [T4N1, Dukes C2]) presented with dyspnea, retrosternal pain, and low-grade fever for a few days. A physical examination revealed tachycardia and hypotension. Auscultatory percussion over the heart was tympanic, and metallic splashing sounds synchronous with heart beats could be heard as well. A chest radiograph showed an area of radiolucency on both sides of the heart and a poorly visible, narrow radiolucent area extending toward the colon (Figure 1).