Limits...
Evaluation of the Pericardium with CT and MR.

Czum JM, Silas AM, Althoen MC - ISRN Cardiol (2014)

Bottom Line: The pericardium plays an important role in optimizing cardiac motion and chamber pressures and serves as a barrier to pathology.In addition to pericardial anatomy and function, this review article covers a variety of pericardial conditions, with mention of potential pitfalls encountered during interpretation of diagnostic imaging.Normal and abnormal appearance of pericardium on CT and MR imaging is emphasized, including dynamic imaging correlates of pericardial pathophysiology.

View Article: PubMed Central - PubMed

Affiliation: Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.

ABSTRACT
The pericardium plays an important role in optimizing cardiac motion and chamber pressures and serves as a barrier to pathology. In addition to pericardial anatomy and function, this review article covers a variety of pericardial conditions, with mention of potential pitfalls encountered during interpretation of diagnostic imaging. Normal and abnormal appearance of pericardium on CT and MR imaging is emphasized, including dynamic imaging correlates of pericardial pathophysiology.

No MeSH data available.


Related in: MedlinePlus

A 77-year-old male with shortness of breath. Chest radiograph (a) demonstrates an abnormal cardiac silhouette with prominence of the right cardiac border (arrow). The subsequent CECT (b, c) demonstrates an 11 cm pericardial cyst (arrow) containing simple fluid (HU of 9) without mass effect upon the SVC or IVC. Dyspnea was more likely related to early emphysematous and interstitial pulmonary changes demonstrated on the CT (not shown here).
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3926415&req=5

fig8: A 77-year-old male with shortness of breath. Chest radiograph (a) demonstrates an abnormal cardiac silhouette with prominence of the right cardiac border (arrow). The subsequent CECT (b, c) demonstrates an 11 cm pericardial cyst (arrow) containing simple fluid (HU of 9) without mass effect upon the SVC or IVC. Dyspnea was more likely related to early emphysematous and interstitial pulmonary changes demonstrated on the CT (not shown here).

Mentions: Pericardial cysts are considered to be congenital but may enlarge over time [32]. The most common locations are right cardiophrenic angle (70% of cases), left cardiophrenic angle (20%), superior mediastinum (5%), and posterior mediastinum (5%) [33]. Pericardial cysts are usually incidental findings found on chest radiography or chest CT performed for other reasons (Figure 8). In rare cases, there may be signs and symptoms of mass effect, and resection may be considered in these cases [32]. Alternative differential considerations for a cystic structure in the region of the pericardium include foregut duplication cyst, neurenteric cyst, eventration of the diaphragm, Morgagni hernia, thoracic pancreatic pseudocyst, cystic neoplasm (lymphangioma, and hemangioma), and hydatid cyst.


Evaluation of the Pericardium with CT and MR.

Czum JM, Silas AM, Althoen MC - ISRN Cardiol (2014)

A 77-year-old male with shortness of breath. Chest radiograph (a) demonstrates an abnormal cardiac silhouette with prominence of the right cardiac border (arrow). The subsequent CECT (b, c) demonstrates an 11 cm pericardial cyst (arrow) containing simple fluid (HU of 9) without mass effect upon the SVC or IVC. Dyspnea was more likely related to early emphysematous and interstitial pulmonary changes demonstrated on the CT (not shown here).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3926415&req=5

fig8: A 77-year-old male with shortness of breath. Chest radiograph (a) demonstrates an abnormal cardiac silhouette with prominence of the right cardiac border (arrow). The subsequent CECT (b, c) demonstrates an 11 cm pericardial cyst (arrow) containing simple fluid (HU of 9) without mass effect upon the SVC or IVC. Dyspnea was more likely related to early emphysematous and interstitial pulmonary changes demonstrated on the CT (not shown here).
Mentions: Pericardial cysts are considered to be congenital but may enlarge over time [32]. The most common locations are right cardiophrenic angle (70% of cases), left cardiophrenic angle (20%), superior mediastinum (5%), and posterior mediastinum (5%) [33]. Pericardial cysts are usually incidental findings found on chest radiography or chest CT performed for other reasons (Figure 8). In rare cases, there may be signs and symptoms of mass effect, and resection may be considered in these cases [32]. Alternative differential considerations for a cystic structure in the region of the pericardium include foregut duplication cyst, neurenteric cyst, eventration of the diaphragm, Morgagni hernia, thoracic pancreatic pseudocyst, cystic neoplasm (lymphangioma, and hemangioma), and hydatid cyst.

Bottom Line: The pericardium plays an important role in optimizing cardiac motion and chamber pressures and serves as a barrier to pathology.In addition to pericardial anatomy and function, this review article covers a variety of pericardial conditions, with mention of potential pitfalls encountered during interpretation of diagnostic imaging.Normal and abnormal appearance of pericardium on CT and MR imaging is emphasized, including dynamic imaging correlates of pericardial pathophysiology.

View Article: PubMed Central - PubMed

Affiliation: Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.

ABSTRACT
The pericardium plays an important role in optimizing cardiac motion and chamber pressures and serves as a barrier to pathology. In addition to pericardial anatomy and function, this review article covers a variety of pericardial conditions, with mention of potential pitfalls encountered during interpretation of diagnostic imaging. Normal and abnormal appearance of pericardium on CT and MR imaging is emphasized, including dynamic imaging correlates of pericardial pathophysiology.

No MeSH data available.


Related in: MedlinePlus