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Pericardial Cyst
Aletta Ann Frazier, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Congenital: Anomalous nonunion of embryologic pericardial lacunae
                • Acquired
                  • Inflammation
                  • Cardiac surgery
                  • Trauma

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              • Reporting Tips

                                                Selected References

                                                1. Fadl SA et al: Comprehensive review of pericardial diseases using different imaging modalities. Int J Cardiovasc Imaging. 36(5):947-69, 2020
                                                2. Khayata M et al: Pericardial cysts: a contemporary comprehensive review. Curr Cardiol Rep. 21(7):64, 2019
                                                3. √únal E et al: The imaging appearances of various pericardial disorders. Insights Imaging. 10(1):42, 2019
                                                4. Amr BS et al: Acute cardiac tamponade secondary to ruptured pericardial cyst: case report and literature review. J Cardiol Cases. 18(2):43-6, 2018
                                                5. Chaturvedi A et al: Incremental value of magnetic resonance imaging in further characterizing hypodense mediastinal and paracardiac lesions identified on computed tomography. J Clin Imaging Sci. 8:10, 2018
                                                6. Oguri M et al: Hemorrhagic pericardial cyst complicated with constrictive pericarditis. Intern Med. 57(24):3565-8, 2018
                                                7. Kar SK et al: Current concepts of diagnosis and management of pericardial cysts. Indian Heart J. 69(3):364-70, 2017
                                                8. Czum JM et al: Evaluation of the pericardium with CT and MR. ISRN Cardiol. 2014:174908, 2014
                                                9. Burke A et al: Practical Cardiovascular Pathology: Wolters Kluwer/Lippincott Williams and Wilkins, 2011
                                                10. Rajiah P et al: Computed tomography of the pericardium and pericardial disease. J Cardiovasc Comput Tomogr. 4(1):3-18, 2010
                                                11. Verhaert D et al: The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging. 3(3):333-43, 2010
                                                12. Yared K et al. Multimodality imaging of pericardial diseases. JACC Cardiovascular Imaging. 2010:3(6);650-60
                                                13. Misselt AJ et al: MR imaging of the pericardium. Magn Reson Imaging Clin N Am. 16(2):185-99, vii, 2008
                                                14. Alpendurada F et al: Pericardial cyst--a clinical case. Rev Port Cardiol. 24(3):435-8, 2005
                                                15. Nijveldt R et al: Pericardial cyst. Lancet. 365(9475):1960, 2005
                                                16. Guven A et al: A case of asymptomatic cardiopericardial hydatid cyst. Jpn Heart J. 45(3):541-5, 2004
                                                17. Heirigs R et al: Images in cardiology: Pericardial cyst. Clin Cardiol. 27(9):507, 2004
                                                18. Oyama N et al: Computed tomography and magnetic resonance imaging of the pericardium: anatomy and pathology. Magn Reson Med Sci. 3(3):145-52, 2004
                                                19. Patel J et al: Pericardial cyst: case reports and a literature review. Echocardiography. 21(3):269-72, 2004
                                                20. Serwer BA et al: Images in clinical medicine. Pericardial cyst. N Engl J Med. 350(21):e19, 2004
                                                21. Uchiyama A et al: Infrasternal mediastinoscopic surgery for anterior mediastinal masses. Surg Endosc. 18(5):843-6, 2004
                                                22. Walker MJ et al: Migrating pleural mesothelial cyst. Ann Thorac Surg. 77(2):701-2, 2004
                                                23. Glockner JF: Imaging of pericardial disease. Magn Reson Imaging Clin N Am. 11(1):149-62, vii, 2003
                                                24. Gossios K et al: Mediastinal and pericardial hydatid cysts: an unusual cause of circulatory collapse. AJR Am J Roentgenol. 181(1):285-6, 2003
                                                25. Kim JH et al: Cystic tumors in the anterior mediastinum. Radiologic-pathological correlation. J Comput Assist Tomogr. 27(5):714-23, 2003
                                                26. Noyes BE et al: Pericardial cysts in children: surgical or conservative approach? J Pediatr Surg. 38(8):1263-5, 2003
                                                27. Takeda S et al: Clinical spectrum of mediastinal cysts. Chest. 124(1):125-32, 2003
                                                28. Wang ZJ et al: CT and MR imaging of pericardial disease. Radiographics. 23 Spec No:S167-80, 2003
                                                29. Wildi SM et al: Diagnosis of benign cysts of the mediastinum: the role and risks of EUS and FNA. Gastrointest Endosc. 58(3):362-8, 2003
                                                30. Jeung MY et al: Imaging of cystic masses of the mediastinum. Radiographics. 22 Spec No:S79-93, 2002
                                                31. Breen JF: Imaging of the pericardium. J Thorac Imaging. 16(1):47-54, 2001
                                                32. Feigin DS et al: Pericardial cysts. A radiologic-pathologic correlation and review. Radiology. 125(1):15-20, 1977
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Definitions

                                                              • Congenital: Anomalous nonunion of embryologic pericardial lacunae
                                                              • Acquired
                                                                • Inflammation
                                                                • Cardiac surgery
                                                                • Trauma

                                                            IMAGING

                                                            • General Features

                                                              • Radiographic Findings

                                                                • CT Findings

                                                                  • MR Findings

                                                                    • Ultrasonographic Findings

                                                                      • Imaging Recommendations

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            • Gross Pathologic & Surgical Features

                                                                              • Microscopic Features

                                                                                CLINICAL ISSUES

                                                                                • Presentation

                                                                                  • Demographics

                                                                                    • Natural History & Prognosis

                                                                                      • Treatment

                                                                                        DIAGNOSTIC CHECKLIST

                                                                                        • Consider

                                                                                          • Image Interpretation Pearls

                                                                                            • Reporting Tips

                                                                                              Selected References

                                                                                              1. Fadl SA et al: Comprehensive review of pericardial diseases using different imaging modalities. Int J Cardiovasc Imaging. 36(5):947-69, 2020
                                                                                              2. Khayata M et al: Pericardial cysts: a contemporary comprehensive review. Curr Cardiol Rep. 21(7):64, 2019
                                                                                              3. √únal E et al: The imaging appearances of various pericardial disorders. Insights Imaging. 10(1):42, 2019
                                                                                              4. Amr BS et al: Acute cardiac tamponade secondary to ruptured pericardial cyst: case report and literature review. J Cardiol Cases. 18(2):43-6, 2018
                                                                                              5. Chaturvedi A et al: Incremental value of magnetic resonance imaging in further characterizing hypodense mediastinal and paracardiac lesions identified on computed tomography. J Clin Imaging Sci. 8:10, 2018
                                                                                              6. Oguri M et al: Hemorrhagic pericardial cyst complicated with constrictive pericarditis. Intern Med. 57(24):3565-8, 2018
                                                                                              7. Kar SK et al: Current concepts of diagnosis and management of pericardial cysts. Indian Heart J. 69(3):364-70, 2017
                                                                                              8. Czum JM et al: Evaluation of the pericardium with CT and MR. ISRN Cardiol. 2014:174908, 2014
                                                                                              9. Burke A et al: Practical Cardiovascular Pathology: Wolters Kluwer/Lippincott Williams and Wilkins, 2011
                                                                                              10. Rajiah P et al: Computed tomography of the pericardium and pericardial disease. J Cardiovasc Comput Tomogr. 4(1):3-18, 2010
                                                                                              11. Verhaert D et al: The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging. 3(3):333-43, 2010
                                                                                              12. Yared K et al. Multimodality imaging of pericardial diseases. JACC Cardiovascular Imaging. 2010:3(6);650-60
                                                                                              13. Misselt AJ et al: MR imaging of the pericardium. Magn Reson Imaging Clin N Am. 16(2):185-99, vii, 2008
                                                                                              14. Alpendurada F et al: Pericardial cyst--a clinical case. Rev Port Cardiol. 24(3):435-8, 2005
                                                                                              15. Nijveldt R et al: Pericardial cyst. Lancet. 365(9475):1960, 2005
                                                                                              16. Guven A et al: A case of asymptomatic cardiopericardial hydatid cyst. Jpn Heart J. 45(3):541-5, 2004
                                                                                              17. Heirigs R et al: Images in cardiology: Pericardial cyst. Clin Cardiol. 27(9):507, 2004
                                                                                              18. Oyama N et al: Computed tomography and magnetic resonance imaging of the pericardium: anatomy and pathology. Magn Reson Med Sci. 3(3):145-52, 2004
                                                                                              19. Patel J et al: Pericardial cyst: case reports and a literature review. Echocardiography. 21(3):269-72, 2004
                                                                                              20. Serwer BA et al: Images in clinical medicine. Pericardial cyst. N Engl J Med. 350(21):e19, 2004
                                                                                              21. Uchiyama A et al: Infrasternal mediastinoscopic surgery for anterior mediastinal masses. Surg Endosc. 18(5):843-6, 2004
                                                                                              22. Walker MJ et al: Migrating pleural mesothelial cyst. Ann Thorac Surg. 77(2):701-2, 2004
                                                                                              23. Glockner JF: Imaging of pericardial disease. Magn Reson Imaging Clin N Am. 11(1):149-62, vii, 2003
                                                                                              24. Gossios K et al: Mediastinal and pericardial hydatid cysts: an unusual cause of circulatory collapse. AJR Am J Roentgenol. 181(1):285-6, 2003
                                                                                              25. Kim JH et al: Cystic tumors in the anterior mediastinum. Radiologic-pathological correlation. J Comput Assist Tomogr. 27(5):714-23, 2003
                                                                                              26. Noyes BE et al: Pericardial cysts in children: surgical or conservative approach? J Pediatr Surg. 38(8):1263-5, 2003
                                                                                              27. Takeda S et al: Clinical spectrum of mediastinal cysts. Chest. 124(1):125-32, 2003
                                                                                              28. Wang ZJ et al: CT and MR imaging of pericardial disease. Radiographics. 23 Spec No:S167-80, 2003
                                                                                              29. Wildi SM et al: Diagnosis of benign cysts of the mediastinum: the role and risks of EUS and FNA. Gastrointest Endosc. 58(3):362-8, 2003
                                                                                              30. Jeung MY et al: Imaging of cystic masses of the mediastinum. Radiographics. 22 Spec No:S79-93, 2002
                                                                                              31. Breen JF: Imaging of the pericardium. J Thorac Imaging. 16(1):47-54, 2001
                                                                                              32. Feigin DS et al: Pericardial cysts. A radiologic-pathologic correlation and review. Radiology. 125(1):15-20, 1977