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A PICTURE IS WORTH A THOUSAND WORDS
Year : 2017  |  Volume : 18  |  Issue : 3  |  Page : 106-107  

Large pericardial mass mimicking pericardial effusion


Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India

Date of Web Publication8-Nov-2017

Correspondence Address:
Shilpa Jayaprakash
No 270, 2nd A Main, Ist Phase, Girinagar, Bengaluru - 560 085, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.217854

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How to cite this article:
Jayaprakash S, Byrappa S, Prakash S S, Shankar S. Large pericardial mass mimicking pericardial effusion. Heart Views 2017;18:106-7

How to cite this URL:
Jayaprakash S, Byrappa S, Prakash S S, Shankar S. Large pericardial mass mimicking pericardial effusion. Heart Views [serial online] 2017 [cited 2019 Oct 16];18:106-7. Available from: http://www.heartviews.org/text.asp?2017/18/3/106/217854

A 56-year-old male patient presented with a history of dyspnea for one year, New York Heart Association (NYHA) Class II with recent worsening to NYHA Class III. Chest X ray PA view ([Figure 1]) revealed cardiomegaly. Two-dimensional echo [Figure 2] [Video 1] revealed large pericardial effusion. The patient was taken for pericardiocentesis. Multiple attempts to aspirate were unsuccessful. Hence, a mass was suspected and computed tomography thorax with contrast [Figure 3] was performed. It revealed a large intrapericardial mass that was enhanced with contrast. Magnetic resonance imaging [Figure 4] was done to confirm the extent of the mass. Surgical excision and biopsy was planned, however, the patient died before it could be done. This case illustrates the importance of multimodal imaging for early diagnosis and management of cardiac tumors. Pericardial masses are rare and can simulate pericardial effusion on echo. When there is difficulty in aspiration, we should always image for further management.
Figure 1: Chest X-ray posteroanterior view showing cardiomegaly

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Figure 2: Two-dimensional echo showing large echolucent space

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Figure 3: Computed tomography contrast demonstrates pericardial mass

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Figure 4: Magnetic resonance imaging demonstrating extent of mass

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    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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