Pneumopericardium is a medical condition in which air is present within the pericardial space.  This condition has been recognized most commonly in preterm neonates. In adults, pneumopericardium may occur spontaneously or in conjunction with hemopericardium or pericardial effusion. Also, it may follow penetrating wounds to the chest or upper abdomen, or wounds or fistulous communications [...]

Case Presentation: A 46-year-old male without significant past medical history presented with progressive dyspnea, syncope, and epigastric pain. An electrocardiogram displayed sinus tachycardia without signs of ischemia. A chest radiograph demonstrated a widened mediastinum. A subsequent transthoracic echocardiogram demonstrated pericardial effusion and tamponade. Patient had hypotension that was unresponsive to repeated intravenous fluid boluses, prompting [...]

Case Presentation: A 74-year-old female with a past medical history of chronic pulmonary emboli, left ventricular heart failure, and hypertension presented with shortness of breath on exertion and bilateral lower extremity edema for one week. On examination, she was found to have jugular venous distention, crackles in bilateral lung bases, and 3+ pitting peripheral edema. [...]

Case Presentation:   An 87-year-old female presented to the emergency department (ED) complaining of chest PAIN (CP).  Her PMH includes hypothyroidism and rosacea. While shopping, patient developed sudden onset crushing central CP that prevented her from ambulating. Initially, she attributed the pain to her hiatal hernia. However, the pain persisted with radiation to the jaw [...]