Question 14: HIV patient with increasing chest discomfort. The study was requested to rule out a pulmonary embolism. What is the diagnosis?

Diagnosis: Primary Cardiac Lymphoma and Pancreatic Mass

Tumor Involvement of the Heart and Pericardium in Lymphoma: Pathways of Involvement

• retrograde lymphatic extension
• hematogenous spread
• direct contiguous extension
• transvenous extension

Lymphoma Involves the Pericardium

Left Innominate Vein Encased