case_images: PMC4421031_01
case_images: PA CXR showing cardiomegaly, interstitial edema, and small bilateral effusions.
case_images: CRIC2015-258140.001.jpg
case_images: PMC4421031_01_CRIC2015-258140.001.jpg
case_images: fig1
case_images: Chest X-ray displayed cardiomegaly with increased interstitial pulmonary markings and small bilateral pleural effusions (see Figure 1).
case_images: Lateral CXR showing cardiomegaly with loss of retrosternal airspace.
case_images: CRIC2015-258140.002.jpg
case_images: PMC4421031_01_CRIC2015-258140.002.jpg
case_images: fig2
case_images: On lateral chest X-ray there was loss of the retrosternal airspace (see Figure 2).
case_images: 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.
case_images: CRIC2015-258140.003.jpg
case_images: PMC4421031_01_CRIC2015-258140.003.jpg
case_images: fig3
case_images: 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).
case_images: Cardiac MRI showing cystic solid mass arising in the pericardium.
case_images: CRIC2015-258140.004.jpg
case_images: PMC4421031_01_CRIC2015-258140.004.jpg
case_images: fig4
case_images: Cardiac magnetic resonance imaging (CMRI) showed that the mass was cystic and solid in nature and again arising near anterior pericardium (see Figure 4).
case_images: 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).
case_images: CRIC2015-258140.005.jpg
case_images: PMC4421031_01_CRIC2015-258140.005.jpg
case_images: fig5
case_images: Pathology results of the partial tumor excision showed high-grade sarcoma with features favoring malignant perivascular epithelioid cell tumor (see Figure 5).