Findings, case of 62-year-old man, chronic productive cough

Imaging Findings

Posteroantior and lateral radiographs of the chest show a mass in the area of the left upper lobe. The trachea appears to be deviated slightly to the right. The lesion is likely within the superior, posterior mediastinum. This suggests paraganglioma, neuroblastoma, lymphoma, or aneurysm of the left subclavian artery (less likely).

Axial computed tomography images show the posterior mediastinal mass close to the trachea. The mass is well circumscribed and without calcifications. The contour is not particularly lobular. The subclavian artery is not visible on these slices. The mass appears to be homogeneous. Because the mass is isolated and not lobulated, lymphoma is less likely. It does not appear to be related to the vascular structures.

The Full Case Report

• Return to the Teaching Case Database search page
• Return to Professional Education
  
• About BrighamRAD

Dear Visitors: Nothing on this World Wide Web site should be considered medical advice. Only your own doctor can help you make decisions about your medical care. It is not the policy of the Brigham and Women's Hospital Department of Radiology to provide consultation on the World Wide Web or via e-mail. If you have a specific medical question or are seeking medical care, please call the Brigham and Women's Hospital toll-free physician referral line at 1-800-294-9999.

Is this a mirrored page?
The official homepage of the BrighamRAD Teaching Case Database is http://brighamrad.harvard.edu/education/online/tcd/tcd.html