case_images: PMC8498672_01
case_images: electrocardiogram (EKG) showing ST segment elevation with Q waves in the anterior leads
case_images: PAMJ-39-246-g001.jpg
case_images: PMC8498672_01_PAMJ-39-246-g001.jpg
case_images: F1
case_images: Diagnostic assessment: the electrocardiogram revealed ST segment elevation with Q waves in the anterior leads (Figure 1).
case_images: echocardiography: modified apical view showing an echolucent well defined space (70 x 66 mm) next both right and left atrium
case_images: PAMJ-39-246-g002.jpg
case_images: PMC8498672_01_PAMJ-39-246-g002.jpg
case_images: F2
case_images: Transthoracic echocardiography revealed apex, anterior, and anterolateral wall akinesia, with a left ventricular ejection fraction of 37% (Figure 2), modified apical 4-chamber view unexpectedly revealed a well-circumscribed and homogeneous echolucent mass with a diameter of 70 x 66 mm next to both right and left atriums, which lacked color by Doppler.
case_images: chest X-ray showing homogenous density in the right cardiophrenic angle and trachea deviation
case_images: PAMJ-39-246-g003.jpg
case_images: PMC8498672_01_PAMJ-39-246-g003.jpg
case_images: F3
case_images: Chest X-ray revealed a homogenous density in the right cardiophrenic angle and trachea deviation (Figure 3) and chest computed tomography confirmed the presence of a pleuropericardial cyst with a diameter of 79 x 66 mm in the right cardiophrenic angle adjacent to both atriums (Figure 4).
case_images: chest CT-scan showing pleuropericardial cyst with 79 x 66 mm at diameter
case_images: PAMJ-39-246-g004.jpg
case_images: PMC8498672_01_PAMJ-39-246-g004.jpg
case_images: F4
case_images: Chest X-ray revealed a homogenous density in the right cardiophrenic angle and trachea deviation (Figure 3) and chest computed tomography confirmed the presence of a pleuropericardial cyst with a diameter of 79 x 66 mm in the right cardiophrenic angle adjacent to both atriums (Figure 4).
case_images: coronarography angiography showing multiple severe stenosis in the left and right coronary arteries
case_images: PAMJ-39-246-g005.jpg
case_images: PMC8498672_01_PAMJ-39-246-g005.jpg
case_images: F5
case_images: As the electrocardiogram (EKG) revealed that the patient had a myocardial infarction, coronary angiography was performed, which revealed tri-troncular coronary lesions (Figure 5).