(1) On his first admission, chest radiography showed cardiomegaly , and an immediate two-dimensional echocardiographic study demonstrated a massive pericardial effusion.(2) A physical examination showed stable vital signs but severe cardiomegaly and congestive heart failure.(3) These factors are previous thromboembolism, left atrial thrombus, marked cardiomegaly , heart failure, dilated left atrium, or spontaneous echocontrast.(4) Manifestations include cardiomegaly , heart murmur (mitral regurgitation, aortic regurgitation), friction rub secondary to pericarditis, and congestive heart failure.(5) Other abnormalities noted were cardiomegaly , abnormal pulmonary vessels, and interstitial prominence.
