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A 22-Year-Old Woman With Fever, Palpitations, and a Cardiac Mass

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1 A 22-Year-Old Woman With Fever, Palpitations, and a Cardiac Mass
Pauline Richebé, MD, Mélanie Roriz, MD, Julie Langlais, MD, Mathieu Sinigaglia, MD, Elyas Mahdjoub, MD, Muriel Hourseau, MD, Thomas Papo, MD, Karim Sacré, MD, PhD  CHEST  Volume 156, Issue 2, Pages e51-e55 (August 2019) DOI: /j.chest Copyright © 2019 American College of Chest Physicians Terms and Conditions

2 Figure 1 A, Axial and (B) sagittal Fast Imaging Employing Steady-state Acquisition cardiac MRI sequences showing a cardiac mass involving the interventricular septum and the inferior wall of the left ventricle. C, Axial PET scan and (D) fused PET/CT scan showing increased 18-fluorodeoxyglucose uptake involving the heart with a maximum standardized uptake value of 20.1. CHEST  , e51-e55DOI: ( /j.chest ) Copyright © 2019 American College of Chest Physicians Terms and Conditions

3 Figure 2 A-D, Lymph node biopsy revealing epithelioid and multinucleated giant cells granuloma (A) (hematoxylin and eosin stain, ×100) with area of caseous necrosis (B) (hematoxylin and eosin stain, ×200). FDG/PET scan performed after 2 months of treatment showing on axial PET scan (C) and fused PET/CT scan (D) a decreased size, 18-fluorodeoxyglucose (maximum standardized uptake value of 7.6), and central necrosis of the cardiac mass compared with diagnosis. CHEST  , e51-e55DOI: ( /j.chest ) Copyright © 2019 American College of Chest Physicians Terms and Conditions


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