CTICasesCongenital Absence of Pericardium
Imaging findings
Chest CT shows direct communication of fluid between the left pleural space and the pericardial space due to absence of the left hemi-pericardium. The heart is shifted and rotated to the left.
Key takeaways
Congenital absence of the left pericardium allows the heart to shift into the left chest. If the patient develops a pleural effusion, it can freely communicate with the pericardial space and present as a concurrent pleural and pericardial effusion.
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