Presentation
History of breast carcinoma and diffusely metastasized ovarian carcinoma, right-sided carcinomatous pleuritis.
Patient Data
Age: 50 years
Gender: Female
From the case:
Pericardial metastasis
Axial C+ portal venous phase

Nodular enhanced thicken pericardium and right pleura with right hyperdense pleural effusion.
Left pleural effusion.
Right breast implant noted. Multiple lesions in the visualized left liver lobe in keeping with metastasis.
Case Discussion
Pericardial metastases or carcinomatous pericarditis. Most frequent CT features of pericardial metastases include, in order of decreasing frequency:
- pericardial effusion
- prepericardial lymph nodes
- pericardial thickening and enhancement
- nodules