Pericardial lipoblastoma

Last revised by Daniel J Bell on 3 Mar 2018

Pericardial lipoblastomas are rare benign tumors that usually occur in children less than 3 years of age. They originate from embryonic fat cells and are divided into two forms, based on location 1:

  1. superficial form: well-circumscribed and well-encapsulated
  2. deep form: not well-circumscribed and infiltrative and termed lipomatosis

For a general discussion please refer to the article on lipoblastomas.

Radiographic features

Ultrasound/Echocardiography

Pericardial lipoblastomas are echogenic compared to the adjacent cardiac tissue 1.

CT

Pericardial lipoblastomas are composed purely of fatty tissue (<0 HU in density) and do not enhance 1.

MRI

The lesion exhibits high signal on T1 and T2 which becomes suppressed on fat-suppression sequences 1.

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