Pericardial disease Quiz: Ace Your Exams

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A 72-year-old man is brought to the clinic from a nearby homeless shelter due to fatigue and progressive dyspnea. The patient states he had a remote history of hemoptysis and night sweats many years ago that resolved with a prolonged course of medications received at a clinic. Temperature is 36°C (97.4°F), pulse is 122/min, respirations are 16/min, and blood pressure is 120/60 mmHg. Physical examination shows 3+ edema in the lower extremities and hepatomegaly. Examination of the neck reveals jugular venous distention that fails to subside on inspiration. Cardiac monitor shows a prominent x and y descent in the jugular venous pulse tracing. A chest x-ray is obtained and shown below:  


Reproduced from: Radiopaedia

Which of the following is the most likely cause of this patient's condition?  

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