Proton beam therapy causing pericarditis – a rare case of radiation induced cardiotoxicity

Figures

• 

  Fig. 1. Chest CT showing mild pericardial effusion, no evidence of inflammation or cardiomyopathy

• 

  Fig. 2. Echocardiogram showing trivial pericardial effusion

• 

  Fig. 3. Colorwash of the proton isodose distribution on an axial slice at the level of the heart. The red represents the high prescribed dose intended for the target at risk for breast cancer, green mid-level dose, and blue low dose of the proton dose