Normal thymus and pericardial recess on CT

Case contributed by Dr Andrew Dixon


Car accident.

Patient Data

Age: 17
Gender: Male

Normal CT appearance of the thymus and superior pericardial recess in a 17 year old trauma patient without any injury. 

Case Discussion

A nice example of normal thymus and normal superior pericardial recess fluid in a trauma patient without any injury. 

In children and young adults it is important to be aware of the normal presence and appearance of the thymus in the anterior mediastinum superiorly. Likewise, it is important in all age groups to be aware of the normal distribution of fluid in the superior pericardial recesses around the great vessels. 

In the setting of trauma the mediastinal fat is a key check area for hemorrhage which may draw your attention to an aortic injury and therefore being able to differentiate hemorrhage from thymus and pericardial fluid is important. 

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Case information

rID: 45399
Published: 24th May 2016
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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