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The potential of magnetic resonance imaging (MRI) of the superior pericardial space was evaluated in a retrospective review of MR images of 46 subjects. The superior pericardial space and its two recesses had low signal intensity. The preaortic recess was demonstrated on 82% of nongated transverse scans. The retroaortic recess was demonstrated on 67% of nongated transverse scans. Generally, both recesses were shown with an even higher frequency on ECG-gated and ECG-permutation-gated scans. Knowledge of the location and typical appearance of these pericardial recesses should preclude mistaking them on MRI for a vascular structure, aortic dissection, or an atherosclerotic plaque or mural thrombus within the ascending aorta.
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Z. J. Wang, G. P. Reddy, M. B. Gotway, B. M. Yeh, S. W. Hetts, and C. B. Higgins CT and MR Imaging of Pericardial Disease RadioGraphics, October 1, 2003; 23(90001): S167 - 180. [Abstract] [Full Text] [PDF] |
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