trees 48 year old asymptomatic male who is a drug abuser, presents with the finding a a needle in the heart 3 months before a catastrophic event.. An axial CT scan through the bottom of the heart shows a displaced needle in the apex of the right ventricle.Ashley Davidoff MD Magnified View of the Needle48 year old asymptomatic male who is a drug abuser, presents with the finding a a needle in the heart 3 months before a catastrophic event.. An axial CT scan through the bottom of the heart shows a displaced needle in the apex of the right ventricle.Ashley Davidoff MD The patients present in cardiorespiratory distress 3 months later. An echo shows findings consistent with cardiac tamponade. A CT scan confirms the presence of a moderate sized pericardium with slightly higher density. Hemopericardium is suspected.Ashley Davidoff MD The tip of the needle is noted in the posterior aspect of the pericardial sacCourtesy Ashley Davidoff The pericardial tamponade has now been decompressed and drained. The tip of the needle is noted in the posterior aspect of the pericardial sacAshley Davidoff MD Magnified ViewThe pericardial tamponade has now been decompressed and drained. The tip of the needle is noted in the posterior aspect of the pericardial sacAshley Davidoff MD