A Classically Enlarged Cardiac Silhouette

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A Classically Enlarged Cardiac Silhouette Jae Hyung Cho, MD, Srinivasan Sattiraju, MD, Michael Colla, MD, Sanjay Mehta, MD, Emil Missov, MD, PhD The American Journal of Medicine Volume 126, Issue 12, Pages e5-e6 (December 2013) DOI: 10.1016/j.amjmed.2013.07.005 Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 1 (A) Posteroanterior chest roentgenogram shows an enlarged cardiac silhouette and a mass abutting the right cardiophrenic angle (arrows). (B) Axial chest computed tomography scan shows a large cystic lesion measuring approximately 7 × 6 × 10 cm abutting the heart border with a radiodensity of 13 Hounsfield units (asterisk). (C) Surgical view of the cyst (asterisk). Note the inflamed appearance of the tissue. (D) Unroofed view of the cyst looking down to the pericardium (asterisk). (E) Histopathology shows fibrous tissue with chronic inflammatory infiltrates and no malignant features (hematoxylin–eosin, original magnification ×100). The American Journal of Medicine 2013 126, e5-e6DOI: (10.1016/j.amjmed.2013.07.005) Copyright © 2013 Elsevier Inc. Terms and Conditions