Fig. 1

Chest CT performed before intrapericardial r-tPA treatment. Purulent pericarditis and pleuritis in the course of common variable immunodeficiency syndrome. Pericardial effusion, the layer of 17 mm. Thickening of the pericardium up to 4 mm. Drain in the pericardial sac - arrow. Bilateral pleural effusion, drain in the left pleura. Large atelectasis in the lower parts of the lungs due to pleural effusion. a – Mediastinal window, axial view. b – Mediastinal window, frontal view