title: Differentiating pericardial recesses from mediastinal adenopathy: potential pitfalls in oncological imaging.
abstract: In oncological imaging, staging with computed tomography (CT) is widely used to determine treatment. Misinterpretation of fluid in pericardial recesses as mediastinal adenopathy can lead to inaccurate clinical staging and inappropriate management. In this review, we describe normal pericardial anatomy and illustrate imaging features to differentiate fluid in pericardial sinuses and recesses from mediastinal adenopathy.
authors.affiliation: Department of Diagnostic and Interventional Imaging, The University of Texas Medical School at Houston, Houston, TX, USA. Electronic address: girish.s.shroff@uth.tmc.edu.
authors.forename: Girish S
authors.initials: GS
authors.lastname: Shroff
authors.affiliation: Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Piyaporn
authors.initials: P
authors.lastname: Boonsirikamchai
authors.affiliation: Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Chitra
authors.initials: C
authors.lastname: Viswanathan
authors.affiliation: Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Myrna C B
authors.initials: MC
authors.lastname: Godoy
authors.affiliation: Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Edith M
authors.initials: EM
authors.lastname: Marom
authors.affiliation: Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Mylene T
authors.initials: MT
authors.lastname: Truong
mesh_terms: D003287:Contrast Media; D003937:Diagnosis, Differential; D006801:Humans; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D008482:Mediastinum / Q000000981:diagnostic imaging* / Q000473:pathology; D009369:Neoplasms / Q000473:pathology*; D010490:Pericardial Effusion / Q000000981:diagnostic imaging* / Q000473:pathology; D010496:Pericardium / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media