Figure 2
From: Acute chest pain: Acute coronary syndrome versus lead perforation: A case report
Multiplanar reformatted images from unenhanced CT of the chest demonstrate dense pericardial fluid consistent with hemopericardium. The atrial lead (yellow arrow) is noted to extend into the pericardial fluid (upper right image) with imaging limited due to motion artifact and streak artifact. Note: The right ventricular lead can also be seen on this coronal image which appears to be within the wall of the right ventricle. Maximum intensity projection image (lower left image) demonstrates the presence of a dual-lead pacemaker as well as a femoral-route pulmonary artery catheter.