Primary malignant pericardial mesothelioma with difficult antemortem diagnosis: A case report

Figure 1 Imaging examinations of the present case. A: Computed tomography showed cardiac enlargement and high-density pericardial effusion; B: Computed tomography also showed multiple lung metastases (indicated by a red arrow); C: Gadolinium contrast-enhanced T1-weighted images showed thick staining inside and outside the pericardium and a small amount of pericardial fluid; D: Gallium scintigraphy showed several accumulations in the pericardial cavity.