trees PNEUMOPERICARDIUM, PNEUMOMEDIASTINUM AND BILATERAL PNEUMOTHORACESCT of a 31 year old male involved in a MVA with extensive trauma to the chest including bilateral pneumothoraces, pneumopericardium, lung contusion and significant consolidation, possibly hemorrhagic, and multiple sternal fracturesAshley Davidoff MD PNEUMOPERICARDIUM, PNEUMOMEDIASTINUM AND BILATERAL PNEUMOTHORACESCT of a 31 year old male involved in a MVA with extensive trauma to the chest including bilateral pneumothoraces, pneumopericardium, lung contusion and significant consolidation, possibly hemorrhagic, and multiple sternal fracturesAshley Davidoff MD PNEUMOPERICARDIUM, PNEUMOMEDIASTINUM AND BILATERAL PNEUMOTHORACESCT of a 31 year old male involved in a MVA with extensive trauma to the chest including bilateral pneumothoraces, pneumopericardium, lung contusion and significant consolidation, possibly hemorrhagic, and multiple sternal fracturesAshley Davidoff MD IATROGENIC PNEUMOPERICARDIUM51 year old female with a history of chronic pancreatitis , pancreatic cancer s/p Whipple who presented with pericardial tamponade with PEA and emergent echo showed moderate pericardial effusion, and an EF of 20%, requiring emergent placement of a pericardial catheter. The effusion was purulent growing E ColiCT scan showed a probable abscess in the dome of the liver and obstructed left bile ducts likely from recurrencePatient subsequently expiredAshley Davidoff MD IATROGENIC PNEUMOPERICARDIUM51 year old female with a history of chronic pancreatitis , pancreatic cancer s/p Whipple who presented with pericardial tamponade with PEA and emergent echo showed moderate pericardial effusion, and an EF of 20%, requiring emergent placement of a pericardial catheter. The effusion was purulent growing E ColiCT scan showed a probable abscess in the dome of the liver and obstructed left bile ducts likely from recurrencePatient subsequently expiredAshley Davidoff MD IATROGENIC PNEUMOPERICARDIUM51 year old female with a history of chronic pancreatitis , pancreatic cancer s/p Whipple who presented with pericardial tamponade with PEA and emergent echo showed moderate pericardial effusion, and an EF of 20%, requiring emergent placement of a pericardial catheter. The effusion was purulent growing E ColiCT scan showed a probable abscess in the dome of the liver and obstructed left bile ducts likely from recurrencePatient subsequently expiredAshley Davidoff MD IATROGENIC PNEUMOPERICARDIUM51 year old female with a history of chronic pancreatitis , pancreatic cancer s/p Whipple who presented with pericardial tamponade with PEA and emergent echo showed moderate pericardial effusion, and an EF of 20%, requiring emergent placement of a pericardial catheter. The effusion was purulent growing E ColiCT scan showed a probable abscess in the dome of the liver and obstructed left bile ducts likely from recurrencePatient subsequently expiredAshley Davidoff MD IATROGENIC PNEUMOPERICARDIUMLIVER ABSCESS ? INCITING CAUSE51 year old female with a history of chronic pancreatitis , pancreatic cancer s/p Whipple who presented with pericardial tamponade with PEA and emergent echo showed moderate pericardial effusion, and an EF of 20%, requiring emergent placement of a pericardial catheter. The effusion was purulent growing E ColiCT scan showed a probable abscess in the dome of the liver and obstructed left bile ducts likely from recurrencePatient subsequently expiredAshley Davidoff MD References and Links Wiki Radiopaedia Garcia et al Purulent Pericarditis after Liver Abscess: A Case Report Case Rep Med. 2014; 2014: 735478. Shorr et al Annals of Surgery Blunt Thoracic Trauma