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Transthoracic echocardiography (TTE) revealed massive pericardial effusion and multiple, irregular and high\u2010density echo \u201ctumor\u2010like\u201d masses on the heart, with the largest one on the apex. However, there were no masses found by computed tomography (CT) scan, except for increased lipids around the coronary artery. We performed emergency pericardiocentesis and drainage to relieve symptoms. The positron emission tomography\/CT (PET\/CT) also showed several ununiformly high accumulations in pericardial cavity. However, the high\u2010density echo \u201ctumor\u2010like\u201d masses cannot be seen by TTE after pericardiocentesis, and also cannot be detected when surgery. Pericardiotomy was performed due to severe pericardial adhesion. The diagnosis of tuberculosis (TB) was confirmed by pericardiotomy and pericardial biopsy.<\/jats:p>","DOI":"10.1002\/jcu.23348","type":"journal-article","created":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T17:14:00Z","timestamp":1664471640000},"page":"46-50","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cGhost imaging\u201d in pericardial cavity: Disappeared \u201ctumor\u2010like\u201d masses in tuberculous pericarditis"],"prefix":"10.1002","volume":"51","author":[{"given":"Tienan","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery Second Hospital of Tianjin Medical University  Tianjin People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingting","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Tianjin Key Laboratory of Ionic\u2010Molecular Function of Cardiovascular 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