A 93-year-old female was transferred to the emergency ward of our hospital due to disturbance of consciousness and hypotension. Computed tomography showed bilateral pleural and pericardial effusion without evidence of tumor masses or lymphadenopathy. Cytodiagnosis of pleural effusion revealed proliferation of atypical lymphoid-like cells with pan-B surface markers. https://www.alarecre.com/NHL-Dallas-Stars-Black-Background-iPhone-13-Pro-Max-MagSafe-Case-p96318/