PMC4421031_01
PA CXR showing cardiomegaly, interstitial edema, and small bilateral effusions.
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fig1
Chest X-ray displayed cardiomegaly with increased interstitial pulmonary markings and small bilateral pleural effusions (see Figure 1).
Lateral CXR showing cardiomegaly with loss of retrosternal airspace.
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fig2
On lateral chest X-ray there was loss of the retrosternal airspace (see Figure 2).
CT of chest showing 9.9 x 11.5 x 14.2 cm heterogeneous mass, with internal necrosis and calcification, associated with the anterior pericardium and displacing the heart superiorly and posteriorly.
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fig3
Computed tomography (CT) of the chest without contrast revealed a 9.9 cm x 11.5 cm x 14.2 cm heterogeneous mass located along the anterior pericardium which was significantly displacing the heart superiorly and posteriorly (see Figure 3).
Cardiac MRI showing cystic solid mass arising in the pericardium.
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fig4
Cardiac magnetic resonance imaging (CMRI) showed that the mass was cystic and solid in nature and again arising near anterior pericardium (see Figure 4).
Perivascular condensation of tumor cells (H&E stain (a) x2.5 and (b) x20). Diffuse positivity for SMA ((c) x10) and HMB-45 ((d) x10).
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fig5
Pathology results of the partial tumor excision showed high-grade sarcoma with features favoring malignant perivascular epithelioid cell tumor (see Figure 5).