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Pericardial Recess Fluid Simulating a Mass on Echo

Pericardial Recess Fluid Simulating a Mass on Echo
This lady underwent a routine pre-op echo and was reported to have a mass at the pulmonary artery bifurcation.
A CT pulmonary angiogram (CTPA) was performed. It shows normal pulmonary arteries.
The “mass” on echo is actually an ovoid fluid pocket in the left pulmonic recess (arrow) of the transverse sinus.
Pericardial recess fluid can simulate nodes, masses and other similar conditions and if we are not aware can lead to diagnostic errors on echo and CT scan.
#pericardium #pericardialrecess #normalvariant #ctscan #ctpa #pulmonaryartery from Instagram: http://ift.tt/1kY7kem