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Related Experiment Videos

Pericardial cysts. A radiologic-pathologic correlation and review

D S Feigin, J J Fenoglio, H A McAllister

    Radiology
    |October 1, 1977
    PubMed
    Summary

    Pericardial cysts, often overlooked, can appear in various locations and cause symptoms. This study highlights their diverse presentations and diagnostic considerations.

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    Area of Science:

    • Radiology
    • Thoracic Surgery
    • Cardiology

    Background:

    • Pericardial cysts are typically round radiodensities at the right cardiophrenic angle in asymptomatic patients.
    • Traditional understanding often overlooks atypical locations and symptomatic presentations.

    Purpose of the Study:

    • To review the imaging characteristics and clinical presentations of pericardial cysts.
    • To emphasize the importance of considering pericardial cysts in differential diagnoses, even in atypical cases.

    Main Methods:

    • Retrospective review of 41 pericardial cyst cases.
    • Analysis of radiographic findings and patient symptoms.

    Main Results:

    • Approximately one-third of cysts were found in atypical locations.
    • Approximately one-third of patients experienced symptoms like chest pain, dyspnea, or cough.
    • 15 of 41 cysts were located on the left cardiac border.
    • Cysts above the diaphragm were challenging to diagnose and mimicked other masses, with two causing bronchial obstruction.

    Conclusions:

    • Pericardial cysts can occur in varied locations, not just the right cardiophrenic angle.
    • Symptomatic presentations are more common than previously thought.
    • Radiologists should consider pericardial cysts in the differential diagnosis for masses in the cardiophrenic angles, regardless of location or patient symptoms.

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