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Radiology

Imaging of the Pericardium

Built from Fundamentals of Diagnostic Radiology

What’s inside

6 sections · 101 slides

  1. 01

    Overview

    • Topics in pericardial imaging

    1 slide

  2. 02

    Anatomy and Normal Appearance

    Pericardial layers, CT and MRI findings, and the sinuses and recesses

    • What the pericardium is
    • Pericardial wall layers, inside to out
    • Fibrous layer and anchoring
    • Pericardium on chest radiograph
    • Pericardium on CT
    • Normal pericardial anatomy on axial CT
    • Normal pericardium on CT reconstructions
    • Pericardium on MRI
    • Normal pericardium on MRI sequences
    • Normal pericardium on MRI sequences
    • 1–2 mm
    • How sinuses and recesses form
    • Oblique sinus
    • Oblique and transverse pericardial sinuses
    • Oblique and transverse pericardial sinuses
    • Transverse sinus
    • High-riding superior pericardial recess
    • Pericardial cavity proper recesses
    • Fluid sleeve around the right inferior pulmonary vein
    • Blood supply, innervation, and lymph drainage

    20 slides

  3. 03

    Congenital Anomalies of the Pericardium

    Pericardial cyst and pericardial defect

    • Pericardial cyst overview
    • Pericardial cyst imaging
    • Pericardial cyst on MRI
    • Pericardial cyst on MRI
    • When to suspect a cystic tumor
    • Pericardial diverticulum
    • Pericardial diverticulum on CT
    • Pericardial defect overview
    • Pericardial defect on imaging
    • Partial absence of the pericardium

    10 slides

  4. 04

    Acquired Pericardial Diseases

    Pericardial effusion and pericardial tamponade

    • Pericardial effusion types
    • Four kinds of pericardial fluid
    • Pericardial effusion types on CT
    • Effusion on chest radiograph
    • Pericardial effusion on frontal radiograph
    • Fat pad sign on lateral radiograph
    • Effusion on echo, CT, and MRI
    • Effusion on MRI signal
    • Transudative effusion on MRI
    • Delayed enhancement: magnitude vs PSIR
    • Tamponade physiology
    • How tamponade develops
    • Tamponade diagnosis and echo
    • Cardiac tamponade on MRI
    • Tamponade on CT
    • Hemopericardium and tamponade in aortic dissection
    • Cardiac tamponade with acute pericarditis on CT
    • Pneumopericardium
    • Pneumopericardium causing tamponade

    19 slides

  5. 05

    Inflammation of the Pericardium

    Acute, fibrous, and constrictive pericarditis; fat necrosis

    • Acute pericarditis causes
    • Dressler syndrome after myocardial infarction
    • How the pericardium reacts
    • Acute pericarditis symptoms and signs
    • Acute pericarditis on CT
    • Idiopathic fibrinous pericarditis on MRI
    • Acute pericarditis on MRI
    • Myopericarditis on delayed enhancement MRI
    • Fibrous pericarditis
    • Progression of uremic pericarditis
    • Progression of uremic pericarditis
    • Calcific pericarditis
    • Diffuse pericardial calcification
    • Fibrous pericarditis on CT and MRI
    • Fibrous pericarditis in systemic lupus erythematosus
    • Fibrous pericarditis with adhesions on tagging MRI
    • Constrictive pericarditis defined
    • Constrictive pericarditis physiology
    • Constrictive pericarditis symptoms and echo
    • Constrictive pericarditis on CT and MRI
    • Constrictive pericarditis on MRI
    • Septal bounce
    • Respiratory variation in constriction
    • Effusive-constrictive pericarditis
    • Epipericardial fat pad necrosis
    • Epipericardial fat pad necrosis

    26 slides

  6. 06

    Pericardial Tumors

    Primary and secondary neoplasms of the pericardium

    • Pericardial tumors at a glance
    • Primary tumors overview
    • Pericardial mesothelioma
    • Mesothelioma course
    • Other primary malignant tumors
    • Pericardial angiosarcoma
    • Primary pericardial effusion lymphoma
    • Malignant yolk sac tumor of the pericardium
    • Benign intrapericardial tumors
    • Intrapericardial lipoma
    • Pericardial lymphangioma
    • Secondary (metastatic) tumors
    • Pericardial metastases from lung cancer
    • Pericardial metastases from lymphoma
    • Key takeaways
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    25 slides