A 57-year-old man presented with shortness of breath and ankle edema. Constrictive pericarditis with an unexplained mass surrounding the heart was diagnosed by ultrasound. Accordingly, 18F-FDG PET/CT was performed. Multiple PET-positive noduli and irregular tissue were located in the pericardium, with pleural fluid present, but without additional pulmonic or pleural pathology. A pericardiectomy was successfully performed. Histopathology and immunohistochemical staining revealed epithelioid mesothelioma.
From the Departments of *Cardiology, and
†Nuclear Medicine, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Received for publication July 16, 2018; revision accepted September 20, 2018.
Conflicts of interest and sources of funding: none declared.
Correspondence to: Hans Balink, MD, PhD, Medical Center Leeuwarden, PO Box 850 8901 BR Leeuwarden, The Netherlands. E-mail: email@example.com.