J Cardiovasc Ultrasound.  2016 Jun;24(2):177-178. 10.4250/jcu.2016.24.2.177.

Image Diagnosis: Pericardial Cyst in a Dialysis Patient

Affiliations
  • 1Cardiology Unit, Clinical and Experimental Department of Medicine and Pharmacology, University of Messina, Messina, Italy. pietropugliatti@tiscali.it
  • 2Department of Radiological Sciences, University of Messina, Messina, Italy.
  • 3Cardiology Unit, S. Vincenzo Hospital, Taormina, Italy.

Abstract

No abstract available.

Keyword

Echocardiography; Pericardial cyst; Cardiac magnetic resonance

MeSH Terms

Diagnosis*
Dialysis*
Echocardiography
Humans
Mediastinal Cyst*

Figure

  • Fig. 1 Echocardiographic evaluation revealed a pericardial cyst in the inferior wall of the left ventricle.

  • Fig. 2 Vertical long-axis (A and D) and short-axis (B, C, E, and F) cardiac magnetic resonance (CMR) images of pericardial cyst in patient with pericarditis, myocarditis and massive pleural effusion. Cyst (white asterisks) has low signal intensity on T1-weighted spin-echo CMR image (F) and high signal intensity on T2-weighted short tau inversion-recovery spin-echo CMR image (C). Steady-state-free procession cine CMR images (A and B) show several fibrinous strands in the cyst and right-sided massive pleural effusion (black asterisks). Late gadolinium enhanced CMR images (D and E) show intramural myocardial enhancement in anterior and inferior wall (white arrows) and enhancement of pericardium (white arrowheads), as an expression of myocardial and pericardial inflammation.


Reference

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3. Seo GW, Seol SH, Jeong HJ, Seo MG, Song PS, Kim DK, Kim KH, Kim DI, Kang MJ, Kim JY. A large pericardial cyst compressing the left atrium presenting as a pericardiopleural efussion. Heart Lung Circ. 2014; 23:e273–e275.
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