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Dear Editor: We greatly enjoyed reading the recently published case by Cudmore et al.1 The case emphasises the importance of keeping a broad differential and a low threshold for suspecting an ominous diagnosis viz. ‘secondary pericardial metastasis or encroachment’, especially with the history of a known systemic malignancy. Metastatic and infiltrative/invasive involvement of the pericardium may often be the initial …
Contributors Both authors have contributed significantly to the writing of this manuscript.
Competing interests DHS receives royalties from his textbook, ‘The Pericardium: A Comprehensive Textbook (Fundamental and Clinical Cardiology), Marcel Dekker, New York 1997’.
Provenance and peer review Not commissioned; internally peer reviewed.