Chest & Cardiovascular Imaging · NEET PG Preparation Radiology

A 60-year-old man undergoes a routine chest radiograph which reveals a well-defined, smooth, lobulated 3 cm mass in the right cardiophrenic angle. On…

Practice question from Chest & Cardiovascular Imaging (NEET PG Preparation Radiology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-74A00F

A 60-year-old man undergoes a routine chest radiograph which reveals a well-defined, smooth, lobulated 3 cm mass in the right cardiophrenic angle. On computed tomography, the lesion has fluid attenuation and does not enhance following contrast administration. What is the most likely diagnosis?

  1. A.Thymoma
  2. B.Pericardial cystCorrect answer
  3. C.Bronchogenic cyst
  4. D.Teratoma

Solution

Pericardial cysts are classic benign congenital lesions that most frequently occur in the right cardiophrenic angle (followed by the left cardiophrenic angle). On CT, they appear as well-circumscribed, thin-walled masses with fluid attenuation and no contrast enhancement.

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