Abstract
A 62-year-old man was admitted to Hwa Mei Hospital (Ningbo, China) with a 1-week history of swallowing discomfort. He was given a diagnosis of esophageal squamous cell carcinoma by endoscopic biopsy. Thoracic computed tomography (CT) showed a large pericardial effusion and a small bilateral pleural effusion. Pericardiocentesis with ultrasound guidance was performed, and 500 mL of hemorrhagic pericardial effusion fluid was drained. A 18fluorodeoxyglucose (18F-FDG) positron emission tomography (PET)–CT scan showed thickening of the upper thoracic esophageal wall (Figure 1A, arrowhead), with intense uptake of 18F-FDG.
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