Figure 1 Pericardial metastases usually present clinically as pericardial effusion or pericarditis. (A) A massive infiltration of the pericardium by a non‐small cell lung carcinoma. (B) Fibrino‐haemorrhagic pericarditis in a case of squamous cell carcinoma of the oesophagus. (C) Another case of pericardial infiltrate by non‐small cell lung cancer; the lack of involvement of the myocardium is evident. (D) Neoplastic infiltration of the pericardium by direct invasion by a non‐small cell lung carcinoma. (E) Histology of metastatic pericardial nodules in a patient with poorly differentiated colon carcinoma.