Pediatric Teleradiology

History: Male with chest pain. 

Pericardial Cyst - Coronal CT of the Chest with intravenous contrast reveals a simple unilocular low attenuation collection at the right cardiophrenic angle (yellow arrow).
Pericardial Cyst – Coronal CT of the Chest with intravenous contrast reveals a simple unilocular low attenuation collection at the right cardiophrenic angle (yellow arrow).

This is the classic location and appearance of a pericardial cyst, which is an outpouching of the parietal pericardium that collects simple fluid. Pericardial cysts represent 6% of mediastinal masses.

See the differential diagnosis of caridophrenic angle masses here.

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