NORMAL PERICARDIUM Figure 26-1 NORMAL PERICARDIUM A normal section of pericardium shows a monolayer of mesothelial cells on top of an even layer of collagen, with small blood vessels throughout. More about this image found in NORMAL PERICARDIUM A normal section of pericardium shows a monolayer of me...

PARIETAL PERICARDIUM Figure 1-2 PARIETAL PERICARDIUM Left: Anterior view, after removal of chest plate at autopsy. Fat pads commonly develop along the outer surface of the parietal pericardium in the anterior mediastinum near the diaphragm and contribute to the cardiac silhouette radiographically... More about this image found in PARIETAL PERICARDIUM Left: Anterior view, after removal of chest plate at ...

PERICARDIAL CONSTRICTION: RADICAL PERICARDIECTOMY Figure 26-4 PERICARDIAL CONSTRICTION: RADICAL PERICARDIECTOMY Grossly, the pericardium is shaggy in this case of chronic effusive constriction. More about this image found in PERICARDIAL CONSTRICTION: RADICAL PERICARDIECTOMY Grossly, the pericardium...

PERICARDIAL DEFECTS: WITH AND WITHOUT ECTOPIC HEART Figure 34-9 PERICARDIAL DEFECTS: WITH AND WITHOUT ECTOPIC HEART A: Partially ectopic heart, abdominal type, with a long left ventricular diverticulum (arrows) extending through the pericardium and diaphragm to the level of the umbilicus. B: Com... More about this image found in PERICARDIAL DEFECTS: WITH AND WITHOUT ECTOPIC HEART A: Partially ectopic h...

CARDIAC LYMPHANGIOMA Figure 44-12 CARDIAC LYMPHANGIOMA This encapsulated, smooth-surfaced tumor was surgically resected from the pericardium. More about this image found in CARDIAC LYMPHANGIOMA This encapsulated, smooth-surfaced tumor was surgical...

CARDIAC ANGIOSARCOMA: GROWTH PATTERN Figure 54-8 CARDIAC ANGIOSARCOMA: GROWTH PATTERN The neoplasm is growing along the parietal pericardium in this example with extensive necrosis. More about this image found in CARDIAC ANGIOSARCOMA: GROWTH PATTERN The neoplasm is growing along the par...

PERICARDIAL MESOTHELIOMA Figure 56-17 PERICARDIAL MESOTHELIOMA This surgically resected mesothelioma was localized to the parietal pericardium, but produced an impressive mass effect on the adjacent cardiac chambers. More about this image found in PERICARDIAL MESOTHELIOMA This surgically resected mesothelioma was localiz...

CHOLESTEROL PERICARDITIS Figure 27-12 CHOLESTEROL PERICARDITIS Numerous cholesterol clefts/crystals are seen throughout the pericardium and are associated with a brisk giant cell reaction and chronic inflammation. More about this image found in CHOLESTEROL PERICARDITIS Numerous cholesterol clefts/crystals are seen thr...

MESOTHELIAL INCIDENTAL CARDIAC EXCRESCENCE (MICE) Figure 51-22 MESOTHELIAL INCIDENTAL CARDIAC EXCRESCENCE (MICE) Small and mucoid, these lesions may be adherent or free floating within the pericardium or within a cardiac chamber. More about this image found in MESOTHELIAL INCIDENTAL CARDIAC EXCRESCENCE (MICE) Small and mucoid, these ...

PERICARDIAL METASTASES: PATTERNS Figure 27-3 PERICARDIAL METASTASES: PATTERNS Left: Metastatic breast carcinoma directly invading the pericardium and adjacent fibroadipose tissue. Right: Metastatic breast carcinoma invading the pericardial lymphatics. More about this image found in PERICARDIAL METASTASES: PATTERNS Left: Metastatic breast carcinoma directl...

PERICARDIAL MESOTHELIOMA Figure 27-4 PERICARDIAL MESOTHELIOMA A primary pericardial mesothelioma extends circumferentially around the heart, involving both the visceral and parietal layers of the pericardium. Definitionally, there should only be limited, if any, pleural involvement. More about this image found in PERICARDIAL MESOTHELIOMA A primary pericardial mesothelioma extends circum...

PERICARDIAL METASTASIS Figure 52-6 PERICARDIAL METASTASIS Metastatic squamous cell carcinoma of the lung manifests as diffuse studding of the epicardial surface (visceral pericardium) as revealed in these windowed (left) and basal short-axis (above) views. More about this image found in PERICARDIAL METASTASIS Metastatic squamous cell carcinoma of the lung mani...

RADIATION-ASSOCIATED PERICARDITIS Figure 27-9 RADIATION-ASSOCIATED PERICARDITIS A diffuse yellow exudate is seen over the surface of the pericardium that was exposed to radiation therapy for esophageal carcinoma. In contrast to cholesterol pericarditis, the nodules are firm and fibrous, and the g... More about this image found in RADIATION-ASSOCIATED PERICARDITIS A diffuse yellow exudate is seen over th...

BENIGN PAPILLARY MESOTHELIAL PROLIFERATION Figure 27-13 BENIGN PAPILLARY MESOTHELIAL PROLIFERATION Above: Reactive changes of the pericardium include benign papillary proliferations that grossly manifest as little whiskers on the pericardial surface. Right: Histologically, they consist of papill... More about this image found in BENIGN PAPILLARY MESOTHELIAL PROLIFERATION Above: Reactive changes of the ...

POST-MYOCARDIAL INFARCTION PERICARDITIS Figure 8-20 POST-MYOCARDIAL INFARCTION PERICARDITIS Left: The fibrinohemorrhagic exudate coats and obscures both the parietal pericardium (yellow arrow) and the surface of the heart. Right: A more focal example of pericardial adhesion (yellow asterisk) ove... More about this image found in POST-MYOCARDIAL INFARCTION PERICARDITIS Left: The fibrinohemorrhagic exuda...

VENTRICULAR FREE WALL RUPTURE: HEMOPERICARDIUM Figure 8-1 VENTRICULAR FREE WALL RUPTURE: HEMOPERICARDIUM Left: Removal of the chest plate reveals a dark blue pericardial sac, indicating hemopericardium. Right: Hemopericardium is confirmed upon removal of the anterior parietal pericardium, with c... More about this image found in VENTRICULAR FREE WALL RUPTURE: HEMOPERICARDIUM Left: Removal of the chest ...

VENTRICULAR CONTAINED RUPTURE (PSEUDOANEURYSM) Figure 8-12 VENTRICULAR CONTAINED RUPTURE (PSEUDOANEURYSM) The myocardial rupture is contained by intact epicardium (visceral pericardium). The lesion has a narrow neck (yellow arrows), indicating the interface with the uninvolved myocardium is narro... More about this image found in VENTRICULAR CONTAINED RUPTURE (PSEUDOANEURYSM) The myocardial rupture is c...

PERICARDIAL CYST Figure 51-2 PERICARDIAL CYST Left: A pericardial cyst (yellow arrow) involves the epicardium (visceral pericardium) over the left ventricle. Above: The epicardial cyst (yellow arrow; from a left-lateral vantage) is seen in and among numerous pericardial adhesions, which are ofte... More about this image found in PERICARDIAL CYST Left: A pericardial cyst (yellow arrow) involves the epic...