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Diaphragmatic Mesothelial Cysts in Children: Radiologic Findings and Percutaneous Ethanol Sclerotherapy

Devrim Akinci1, Okan Akhan1, Mustafa Ozmen1, Orhan S. Ozkan1 and Musturay Karcaaltincaba1

1 Department of Radiology, Hacettepe University School of Medicine, Sihhiye, Ankara 06100, Turkey.



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  		Fig. 1A —Sonography findings of diaphragmatic mesothelial cyst in 7-year-old boy. Sonogram obtained with 3.5-MHz transducer shows bilobulate cystic lesion (arrow) with thin hyperechoic line in wall.

 


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  		Fig. 1B —Sonography findings of diaphragmatic mesothelial cyst in 7-year-old boy. With high-frequency transducer, extrahepatic location (arrow) can easily be seen.

 


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  		Fig. 2A —CT findings of diaphragmatic mesothelial cyst in 12-year-old girl. Pretreatment axial CT image shows bilobulate cystic lesion (arrow) adjacent to posterolateral aspect of liver.

 


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  		Fig. 2B —CT findings of diaphragmatic mesothelial cyst in 12-year-old girl. Cystogram obtained during ethanol sclerotherapy confirms bilobular nature of lesion.

 


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  		Fig. 2C —CT findings of diaphragmatic mesothelial cyst in 12-year-old girl. After 9 months of percutaneous treatment, CT image at same level as A shows complete resolution of diaphragmatic mesothelial cyst.

 


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  		Fig. 3A —MRI findings of diaphragmatic mesothelial cyst in 8-year-old girl. T2-weighted coronal (A) and axial (B) images show bilobulate hyperintense lesion (arrow) between diaphragm and right lobe of liver.

 


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  		Fig. 3B —MRI findings of diaphragmatic mesothelial cyst in 8-year-old girl. T2-weighted coronal (A) and axial (B) images show bilobulate hyperintense lesion (arrow) between diaphragm and right lobe of liver.

 

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