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Differentiating pericardial recesses from mediastinal adenopathy: potential pitfalls in oncological imaging
Girish S Shroff1, Piyaporn Boonsirikamchai2, Chitra Viswanathan2
1Department of Diagnostic and Interventional Imaging, The University of Texas Medical School at Houston, Houston, TX, USA.
Abstract:
In oncological imaging, staging with computed tomography (CT) is widely used to determine treatment. Misinterpretation of fluid in pericardial recesses as mediastinal adenopathy can lead to inaccurate clinical staging and inappropriate management. In this review, we describe normal pericardial anatomy and illustrate imaging features to differentiate fluid in pericardial sinuses and recesses from mediastinal adenopathy.
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