The patient is 57 years old female who came with chronic cough.
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There is s a well-defined, non-enhancing, low (water) attenuating, rounded mass next to the pericardium.
Pericardial cysts are uncommon benign congenital anomalies of the anterior and middle mediastinum. In most patients are asymptomatic and discovered incidentally although occasionally patients may present with chest pain and dyspnoea.