Abstract

A 38-year-old man presented with recurrent fever, night sweat, retrosternal pain, and vomiting. Laboratory test failed to identify a viral or bacterial agent. The patient did not respond to antibiotics. Transoesophageal echocardiography showed pericardial effusion and no valvular vegetations. The patient was referred to fluoro-deoxy-glucose-positron emission tomography/computed tomography (FDG-PET/CT) to identify an infectious focus. Whole-body FDG-PET/CT was performed after fasting and 1 hour after intravenous administration of 350 MBq FDG. Coronal PET image ( Panel D ) demonstrates increased uptake in the whole pericardium, pronounced on the right side (long arrows). PET/CT technique provides cross-sectional axial CT- ( Panel A ), PET- ( Panel B ), and fused PET/CT-( Panel C ) images. The pericardial …

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