Department of Biomedical Imaging, University Malaya Research Imaging Centre, Faculty of Medicine, University Malaya, 50603 Kuala Lumpur, Malaysia.
Heart Lung Circ. 2013 Apr;22(4):305-8. doi: 10.1016/j.hlc.2012.07.016. Epub 2012 Aug 24.
Pericardial cysts are uncommon mediastinal lesions that are usually congenital in origin. Patients are usually asymptomatic and the cysts are generally discovered on routine radiography for unrelated purposes. This case illustrates a symptomatic presentation of a haemorrhagic pericardial cyst in which radiographic, echocardiographic and multislice (MRI and CT) imaging were performed. The imaging findings were not typical of pericardial cysts leading to a diagnostic quandary despite the varied imaging techniques. In conclusion, it is important to appreciate that the imaging findings of pericardial cysts can be varied. Radiologists and clinicians alike should be aware of this variability.
心包囊肿是一种不常见的纵隔病变，通常为先天性起源。患者通常无症状，囊肿通常是在进行与其他无关的常规放射检查时发现的。本病例说明了一例出血性心包囊肿的症状表现，对其进行了放射、超声心动图和多层（MRI 和 CT）成像检查。尽管使用了多种成像技术，但成像结果均不典型，这导致了诊断上的困境。总之，重要的是要认识到心包囊肿的影像学表现可以是多种多样的。放射科医生和临床医生都应该意识到这种可变性。
