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Question category: Cardiology

A 42 year old male presents with fatigue, fever, night sweats and weight loss. He has been recently unwell with what he presumed was a viral infection. On examination there is evidence of cervical lymphadenopathy. You also noted quiet heart sounds and a pericardial rub. He is tachycardic. There is evidence of hepatosplenomegaly. Bloods reveal a pancytopenia. An Echo confirms a pericardial effusion. Which of the following is the most likely diagnosis?

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