Presentation
Cough, otherwise asymptomatic with no previous history of cardiac problems, surgery or trauma.
Patient Data
Age: Adult
Gender: Male
From the case:
Pericardial agenesis
Frontal

- lung interposition between main pulmonary artery and aorta is suggested
- leftward shift and rounding of the cardiac apex
From the case:
Pericardial agenesis
Axial C+ arterial phase

- interposition of lung between the main pulmonary artery and ascending aorta
- levorotation of the heart
- leftward shift of the heart
- pericardium not visible on CT
Case Discussion
A case of absence of the pericardium - or pericardial agenesis.
Often found incidentally. Pericardial absence can be complete or partial. In this case the finding was incidental and the patient was entirely asymptomatic.