Table 2.
Differential diagnosis table for cardiac bronchogenic cyst.
| Location | Morphology | TTE | CT | MRI | |
|---|---|---|---|---|---|
| Intracardiac bronchogenic cyst | Right side of the heart | Round; well-defined; thin wall | Homogeneous, hypoechoic | Hypodense; enhanced wall; calcification; fatty tissue; mucus | T1: hypointense; T2: hyperintense; enhanced wall |
| Thrombosis | Left atrium and auricle; tumor thrombi mainly located in the right atrium | Multiform; poor mobile | Hyperechoic | Hypodense; no enhancement; tumor thrombi with enhancement | T1, T2, SSFP: homogeneous hypointense; no enhancement; tumor thrombi with enhancement |
| Myxoma | Left atrium | Lobulated; well-defined; mobile; a narrow pedicle | Heterogeneous echo | Heterogeneous density; cystic content; calcification | T1: heterogeneous intermediate; T2: heterogeneous hyperintense; heterogeneous enhancement |
| Papillary fibroelastoma | Valvular endocardium | Small; pedunculated; papillary; mobile | Hyperechoic | Hypodense; no significant enhancement | T1: intermediate; T2: hyperintense; uniform enhancement |
| Cardiac lymphangioma | pericardial space | Ill-defined | Heterogeneous echo; no vascular flow | Hypodense; no significant enhancement | T1: heterogeneous signal due to complex components; T2: hyperintense; no enhancement or heterogeneous enhancement |
| Metastasis | - | Multilocular | Isoechoic to hyperechoic; calcification | Isodense to myocardium; heterogeneous enhancement | T1: hypointense to isointense; T2: isointense to hyperintense; heterogeneous enhancement |
| Cardiac echinococcosis | left ventricular wall | Round; well-defined; | Homogeneous hypoechoic; no flow | Hypodense; no significant enhancement; calcification; solid component | T1: hypointense; T2: hyperintense; fibrous septa with low signal intensity; no or slight enhancement |