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Year : 2017  |  Volume : 27  |  Issue : 3  |  Page : 110-113

What ultrasounds, sometimes, cannot see: A case of posterior pericardial cyst

1 Department of Cardiology and Cardiovascular Physiopathology, University of Perugia, Perugia, Italy
2 Radiology Institute, Perugia Hospital, Perugia, Italy

Correspondence Address:
Ketty Savino
Via Beata Chiara Luce Badano 4, 06125 Perugia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_5_17

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Pericardial cysts (PCs) are very rare, often congenital, mediastinal masses. Usually, they are located in the right cardiophrenic angle and only in 8% of cases in the anterior or posterior mediastinum. Computed tomography and/or magnetic resonance imaging are accurate tools for the diagnosis and characterization of mediastinal masses. However, echocardiography is, in many cases, a good screening technique. If asymptomatic, they do not require surgical excision. The authors describe a case of posterior mediastinum PC; in these cases, echocardiography cannot see the mass and three-dimensional imaging techniques are required. The clinical management of this case is discussed.

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