High Riding Pericardial Recess

Autor: Justin Hundloe, Adrian Haverick, R. Pearson, Morgan Windsor, Marshall Plit, David Fielding
Rok vydání: 2008
Předmět:
Zdroj: Journal of Bronchology. 15:182-184
ISSN: 1070-8030
DOI: 10.1097/lbr.0b013e31817d6945
Popis: We report for the first time 2 cases of right paratracheal pericardial recess cysts identified by endobronchial ultrasound (EBUS) and subsequently aspirated by transbronchial needle aspiration. High riding pericardial cyst is a recently identified radiologic entity, which can mimic a right paratracheal lymph node. EBUS transbronchial needle aspiration is often performed in this site to aspirate tissue for pathologic diagnosis. On ultrasound, cystic structures appear black as do blood vessels. Although there are other features to identify blood vessels on ultrasound, it can be disconcerting to initially see a black lesion where the proceduralist was expecting to see a lymph node. The EBUS appearances are described, showing a cystic lesion above the azygous vein and medial to the superior vena cava. The use of color Doppler by EBUS was particularly useful in confirming the presence of a cystic structure as opposed to a blood vessel in this location.
Databáze: OpenAIRE