PMC3303752_01
Positron emission tomography/computed tomography (PET/CT) with (18)F-fluoro-2-deoxyglucose showed an intense tracer uptake localized at the right cardiofrenic angle, as shown in transaxial and sagittal views ((b) and (a), resp.).
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fig1
Positron emission tomography/computed tomography (PET/CT), performed for restaging purpose, revealed the presence of a right angle cardiophrenic marked uptake (Figure 1).
Short-axis diastolic (a) and systolic (b) phase clearly showing the large solid mass anteriorly to the right ventricle. (c) Short-axis T2w black-blood image easily depicting the hyperintense mass that largely infiltrates the myocardium of right ventricular wall which is thinned or completely undistinguishable from the pathological tissue. (d) Short-axis late gadolinium image showing the progressive ring enhancement of the lesion (arrow head), which was interpreted as a probable secondary malignant lesion.
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fig2
CMR confirmed the presence of a solid mass (50 x 64 x 26 mm) inside the visceral paper of the pericardium and infiltrating the basal wall of the right ventricle (Figures 2(a) and 2(b)); this mass was characterized by a moderate hyperintensity on T2w images (Figure 2(c)) and by a progressive ring enhancement (Figure 2(d)) and was interpreted as a probable secondary malignant lesion.