Of Masses and Pericardial Effusion

After having been given the clearance to go for MRI, Ri was scheduled at 11am this morning. We were at Makati Medical Center around 10am but after a bit of waiting, interviews, ivy line insertion, and briefing, it wasn’t until noon when the scan started.

At about 1:15pm, Ri was all dressed and we were ready to go. Imagine our surprise when the resident asked us to wait while she contacted our pediatrician!

Not too long after, Dr. Carolyn Butler came and informed us that Ri has a huge Mediastinal mass (13.8 cm) in her chest (huge, lobulated soft tissue mass) and fluid around her heart. She was advised to go for a 2D echo to take a closer look at the Pericardial Effusion (fluid).

As soon as the echo was done, Dr. Aurelia Leus, pediatric cardiologist, recommended that Ri be admitted as the effusion was massive (6.5cm in diameter) and her heart’s upper chambers were collapsed. At this point, the mass takes a backseat to prioritize her heart.

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