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18F-FDG PET/CT Revealing Constrictive Pericarditis as the Only Manifestation of Malignant Mesothelioma

Edel, Jan Pieter, MD*; Balink, Hans, MD, PhD

doi: 10.1097/RLU.0000000000002349
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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:

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