We present the case of a 49-year-old woman. with previous clinical antecedents of recent hepatic metastasis. who was admitted to the ICU due to respiratory failure and hemodynamic instability. She was found to have purulent pericarditis complicated by pericardial tamponade and pleural effusion. https://www.roneverhart.com/2004-BMW-325i-Front-Engine-Hood-Hinge-w-Strut-Shock-Driver-Left-LH-OEM/