Fig. 1

Contrast-enhanced computed tomography of the thorax before (a, b) and after (c, d) chemotherapy. a Axial image crossing the left atrium. b-c Axial images through the ventricles. d Sagittal image through the aortic arch. Before chemotherapy (a, b), both parietal (white arrows) and visceral (black arrow) layers of the pericardium were very thickened. After chemotherapy (c, d), computed tomography shows progression of the lesions around ventricles, in cranial sinuses, around the ascending aorta and the pulmonary artery. Legend: A aorta, CV cava vein, L liver, LA left atrium, LV left ventricle, PL pleural effusion, RV right ventricle, black arrows visceral layer of the pericardium, star neoplastic tissue, white arrows parietal layer of the pericardium