February 1983

Misdiagnosis of Pericardial Cyst by Echocardiography and Computed Tomography Scanning

Author Affiliations

From the Division of Cardiology (Drs Engle, Tresch, and Brooks), and the Departments of Cardiothoracic Surgery (Dr Boncheck) and Radiology (Dr Foley), Medical College of Wisconsin, Milwaukee.

Arch Intern Med. 1983;143(2):351-352. doi:10.1001/archinte.1983.00350020177034

• We saw a patient who had clinical features of right-sided heart failure. Echocardiography and computed tomography findings were incorrectly interpreted as demonstrating an intracardiac mass. At surgery, a pericardial cyst externally compressing the right ventricular cavity was found. We conclude that, although noninvasive tests may play a valuable role in evaluating intracardiac masses, interpretation may be difficult and misdiagnoses are possible.

(Arch Intern Med 1983;143:351-352)