Superior periaortic pericardial recess

Case contributed by Dr Craig Hacking



Good example of a superior periaortic pericardial recess.

Case Discussion

These recesses can be mistaken for normal or pathological lymph nodes. The 2 distinguishing features are:

  1. they are (pericardial) fluid density whereas nodes are not and
  2. they 'hug' the ascending aorta - they are often banana shaped, with the surface closest to the ascending aorta concave around the aorta. Nodes tender to be round, oval or reniform.
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Case information

rID: 43472
Published: 12th Mar 2016
Last edited: 27th Sep 2017
System: Cardiac, Chest
Inclusion in quiz mode: Included

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