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Primary Pericardial Mesothelioma

Imaging findings

An unexplained pericardial effusion in a 27-year-old patient showed nodularity and mass-like soft tissue surrounding the coronary arteries.

Key takeaways

Primary pericardial mesothelioma, while rare, should be considered when an unexplained pericardial effusion exhibits mass-like characteristics rather than simple fluid density.

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