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A 36-year-old male was referred to our hospital for the evaluation of a rapid increase in size of the cardiac silhouette. On physical examination, a loud non-gallop sound was auscultated through the apex of the heart. Computed tomography (CT) revealed a markedly enlarged and hypovascularized heart. The delayed enhancement images showed a thickened pericardium as well as a radio-opaque, high-density, wedge-shaped mass lesion on the anterior and posterior surfaces of the heart. Pericardiectomy was performed immediately after the diagnosis was established, and the histopathological diagnosis was pyogenic pericarditis. We report the case of a patient with idiopathic pneumopericardium of the anterior and posterior surfaces of the heart.Update (19 July 2018): In response to increased public comment that the EIS focused heavily on the construction and operation of the Yucca Mountain facility at the expense of environmental, health and safety considerations, the NRC has amended the final EIS and reopened it for public comment. This reopening was announced in a press release on 16 July 2018. The revised EIS is available on the NRC website, and on the NRC’s website for the public comment period. It is important to note that the revised EIS contains few substantive changes that significantly alter the conclusions and recommendations of the original EIS. Public comments in response to the original EIS should be considered in view of the revised EIS.
Summary: The NRC has released a report on the Draft Environmental Impact Statement (EIS) that it issued in June 2015 for the proposed Yucca Mountain, Nevada, permanent repository for high-level nuclear waste. The report states that the draft EIS identifies a single best solution to finding a permanent repository, and recommends that the United States and other countries use that solution. The report also states that the draft EIS fully analyzed the risks and benefits of the selected alternative and recommends that the United States, a single state, and the three other countries most affected by the proposed repository use the selected alternative, with safeguards in place to ensure that the risks from the selected alternative are minimized.
Background
The Nuclear Waste Policy Act (NWPA) of 1982 authorized a federal repository for
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