<p id="hl0000117" class="ng-scope">An 18-year-old male presented with progressive dyspnea, orthopnea for 2 months. And unexplained weight loss over a 5-month.</p> <p id="hl0000118" class="ng-scope">Echocardiographic initial assessment showed large pericardial effusion with a huge mass related to the Left ventricle (<span> </span><a ck-scroll-to="" id="hl0000119" href="https://www.clinicalkey.com/f0005" update-fn="scrollToFunc" class="ng-scope">Fig. 1</a><span> </span>). Pericardiocentesis was done with removal of 700 ml of bloody fluid with slight improvement of his symptoms.</p>