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Diagnosis of cardiac tamponade has been mainly based on clinical features and echocardiography. However, CT may be an initial tool for the evaluation of cardiac tamponade because cutting edge CT is increasingly being installed in the emergency room, and presentation of cardiac tamponade can be nonspecific. Importantly, CT has better spatial resolution compared with echocardiography. Thus, identification of the etiology of cardiac tamponade is possible on CT. We report a case of cardiacdoi:10.5812/iranjradiol.39484 fatcat:sfgyiiaeanhrtbf25kpl2wy4ky