CTICasesProminent Pericardial Recess Mimicking Mediastinal Lymphadenopathy
[...]. Prominent Pericardial Recess Mimicking Mediastinal Lymphadenopathy. CTICases. Published May 17, 2018. https://str-case-explorer.pages.dev/c/re356
Imaging findings
An unusually large, multilobulated pericardial recess is seen enveloping the right inferior pulmonary vein.
Key takeaways
A small pericardial recess along the right inferior pulmonary vein can be seen even without a pericardial effusion elsewhere and is a recognized pitfall that can be mistaken for mediastinal lymphadenopathy. This example was strikingly large and multilobulated, serving as a reminder to recognize this normal anatomic recess rather than raising concern for a sinister process.
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