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 73-year-old female with prior history of breast cancer. She developed exertional dyspnea, which was found to be due to a pericardial effusion. This was treated semiemergently by pericardial window. Subsequent CECT showed progressive nodular pericardial thickening (b, c), as well as marked enhancement on MR (d). Planar FDG-PET image (e) shows markedly elevated pericardial metabolic activity and left pleural metastases. This was presumed to represent recurrent breast cancer presenting as pericardial metastatic disease, but biopsies returned malignant epithelioid mesothelioma.
© Copyright Policy
Related In: Results  -  Collection

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

fig9: A 73-year-old female with prior history of breast cancer. She developed exertional dyspnea, which was found to be due to a pericardial effusion. This was treated semiemergently by pericardial window. Subsequent CECT showed progressive nodular pericardial thickening (b, c), as well as marked enhancement on MR (d). Planar FDG-PET image (e) shows markedly elevated pericardial metabolic activity and left pleural metastases. This was presumed to represent recurrent breast cancer presenting as pericardial metastatic disease, but biopsies returned malignant epithelioid mesothelioma.

Mentions: Malignancy may involve the pericardium in three ways: primary neoplasm, metastasis, and direct invasion (most commonly by lung cancer). Of these, primary neoplasm is the least common [34, 35]. Benign pericardial neoplasms include fibroma, lipoma, hemangioma, and teratoma. Malignant histologies include mesothelioma, sarcoma, and lymphoma (Figure 9) [36].


Evaluation of the Pericardium with CT and MR.

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

A 73-year-old female with prior history of breast cancer. She developed exertional dyspnea, which was found to be due to a pericardial effusion. This was treated semiemergently by pericardial window. Subsequent CECT showed progressive nodular pericardial thickening (b, c), as well as marked enhancement on MR (d). Planar FDG-PET image (e) shows markedly elevated pericardial metabolic activity and left pleural metastases. This was presumed to represent recurrent breast cancer presenting as pericardial metastatic disease, but biopsies returned malignant epithelioid mesothelioma.
© Copyright Policy
Related In: Results  -  Collection

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

fig9: A 73-year-old female with prior history of breast cancer. She developed exertional dyspnea, which was found to be due to a pericardial effusion. This was treated semiemergently by pericardial window. Subsequent CECT showed progressive nodular pericardial thickening (b, c), as well as marked enhancement on MR (d). Planar FDG-PET image (e) shows markedly elevated pericardial metabolic activity and left pleural metastases. This was presumed to represent recurrent breast cancer presenting as pericardial metastatic disease, but biopsies returned malignant epithelioid mesothelioma.
Mentions: Malignancy may involve the pericardium in three ways: primary neoplasm, metastasis, and direct invasion (most commonly by lung cancer). Of these, primary neoplasm is the least common [34, 35]. Benign pericardial neoplasms include fibroma, lipoma, hemangioma, and teratoma. Malignant histologies include mesothelioma, sarcoma, and lymphoma (Figure 9) [36].

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