A 56-year-old male patient presented with a history of dyspnea for one year, New York Heart Association (NYHA) Class II with recent worsening to NYHA Class III. Chest X ray PA view ([Figure 1]) revealed cardiomegaly. Two-dimensional echo [Figure 2] [Video 1] revealed large pericardial effusion. The patient was taken for pericardiocentesis. Multiple attempts to aspirate were unsuccessful. Hence, a mass was suspected and computed tomography thorax with contrast [Figure 3] was performed. It revealed a large intrapericardial mass that was enhanced with contrast. Magnetic resonance imaging [Figure 4] was done to confirm the extent of the mass. Surgical excision and biopsy was planned, however, the patient died before it could be done. This case illustrates the importance of multimodal imaging for early diagnosis and management of cardiac tumors. Pericardial masses are rare and can simulate pericardial effusion on echo. When there is difficulty in aspiration, we should always image for further management.