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Radiological Insights Into the Pericardium: A Comprehensive Review.

Felipe Aluja-Jaramillo1, Omar Andrés Pantoja-Burbano1, Fernando R Gutiérrez2

  • 1Radiology Department, Hospital Universitario San Ignacio-Pontificia Universidad Javeriana, Bogotá, Colombia.

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|March 27, 2025
PubMed
Summary
This summary is machine-generated.

The pericardium, a membrane around the heart, can present with fluid (pericardial effusion), solid, or cystic lesions. Accurate diagnosis requires integrating clinical history with imaging findings for various pericardial diseases.

Keywords:
constrictivediagnostic imagingmultidetector computed tomographypericardial fluidpericarditispericardium

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Area of Science:

  • Cardiology
  • Pathology
  • Radiology

Background:

  • The pericardium is a complex structure, not merely a two-layered sac.
  • Pericardial effusion is a common sign of diverse pericardial pathologies.
  • The pericardial space can harbor fluid, solid masses, and cystic lesions.

Purpose of the Study:

  • To review and identify various pericardial entities, ranging from benign to malignant.
  • To highlight the clinical and imaging characteristics of pericardial diseases.
  • To aid in the differential diagnosis of conditions affecting the pericardium.

Main Methods:

  • Literature review of pericardial diseases.
  • Analysis of clinical presentations and imaging findings.
  • Synthesis of information on benign and malignant pericardial pathologies.

Main Results:

  • Pericardial lesions can manifest as effusion, solid masses, or cysts.
  • Clinical symptoms are often non-specific, mimicking other thoracic diseases.
  • Imaging findings, combined with clinical context, are crucial for diagnosis.

Conclusions:

  • A comprehensive understanding of pericardial pathology is essential.
  • Differential diagnosis of pericardial conditions relies on integrated clinical and imaging data.
  • This review provides insights into diverse pericardial entities for improved patient management.