Shape of the Heart: A 68-Year-Old Man With a Primary Cardiac Non-Hodgkin Lymphoma

A previously healthy 68-year-old man presented to his primary care physician with a 6-month history of dyspnea on exertion, 50 pounds of body weight loss, and low QRS voltage on electrocardiogram, prompting computed tomography (CT). CT chest scan demonstrated a right ventricular intracardiac mass (2.9  × 2.6 cm; Fig. 1A), massive pericardial effusion, and multiple conglomerated lymphadenopathies in both high and low paratracheal, prevascular, and subcarinal regions. Cytology of 1000 mL of pericardiocentesis revealed a diffuse large B-cell lymphoma.
Source: International Journal of Radiation Oncology * Biology * Physics - Category: Radiology Authors: Tags: Gray Zone Source Type: research