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FIGURE 3. Selected transaxial CT slices of 81-y-old man with dilated ischemic cardiomyopathy and substernal chest pain, fatigue, and anorexia. Images were obtained with soft-tissue window (A) and with lung window craniad to soft-tissue window (B). Chest radiography 4 d before SPECT/CT showed small left-sided pericardial effusion. SPECT/CT shows large pericardial effusion (1), at least moderate-sized left-sided pleural effusion (2), and significant compressive atelectasis and consolidation (3). These findings were later confirmed by chest radiography and transthoracic echocardiography. Metal artifact from automatic implantable cardioverter-defibrillator is noted as well.
