CTICasesPericardial Mesothelioma
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Imaging findings
Patient initially had a normal calcium score. Later presented with severe chest pain and developed ugly circumferential pericardial thickening with a nodular appearance, including a nodule in the epicardial fat. PET scan showed intense uptake in the pericardium.
Key takeaways
Primary pericardial mesothelioma can be associated with asbestos exposure in about 50% of cases, though this patient had no pleural plaques. It can develop rapidly.
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