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A 78-year-old woman presented with dyspnea, cough, and a pleural effusion on the left side. She had fractured a hip 3 years earlier, and a chronic decubitus ulcer developed while she was bedridden during an extended recovery period. The ulcer had been treated by local débridement. A year earlier, a squamous-cell carcinoma had been diagnosed adjacent to the ulcer and had been completely resected. A malignant pleural effusion was also identified at that time, but the patient declined any further therapy. Computed tomography of the chest performed after the administration of contrast material revealed multiple pericardial masses with central necrosis . . . [Full Text of this Article] |
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