Echo Summer Challenge 2 - What is the structure adjacent to the ascending aorta?

Are you ready for some important teaching points? Can you solve the following „echo mystery“?

This image is from a 56-year-old woman with chest pain:

What is the structure adjacent to the ascending aorta?

A) Pericardial cyst

B) Coronary artery aneurysm

C) Enlarged pulmonary artery

D) Pseudoaneurysm of the aorta

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Post your comments below or get the answer.

Yours,
Thomas Binder and the 123sonography team