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

## Metadata
- Content type: Blog
- Canonical URL: https://123sonography.com/blog/cases/echo-summer-challenge-2-what-structure-adjacent-ascending-aorta
- Published: June 23, 2024
- Last updated: March 20, 2025

## Overview
What is the structure adjacent to the ascending aorta? Can you solve the following „echo mystery“?

## Snapshot
- Category: Cases

## Authors
- [Prof. Thomas Binder, MD, FESC](/speaker/30) - Cardiologist, Head of Digital Learning; Medical University of Vienna

## Tags
- Echo

## Related Courses
- [Echo BachelorClass](/course/echobachelorclass)
- [Echo MasterClass](/course/echomasterclass)

## Content
Are you ready for some more important teaching points? Let's kick off with an intriguing challenge that’s much like analysing a football match. In today's "echo mystery," we present you with an image from a 56-year-old woman experiencing chest pain. Think of this as the pivotal moment in a match where every detail counts!

## What is the structure adjacent to the ascending aorta?

[![](https://123sonography.com/sites/default/files/styles/video_thumbnail/public/SC%2002%20RCA%20Aneuy.png?itok=bJQ-TkX1)](https://vimeo.com/722583969?loop=1&title=0&byline=0&portrait=0)

**A) Pericardial cyst**

**B) Coronary artery aneurysm**

**C) Enlarged pulmonary artery**

**D) Pseudoaneurysm of the aorta**

[**Get the answer**](https://123sonography.com/blog/echo-summer-challenge-2-answer) or learn more in our Echo MasterClass now!

**Yours,**
**Thomas Binder and the 123sonography team**