EURORAD ESR

Case 12321

Mediastinal pancreatic pseudocyst

Author(s)
Yuranga Weerakkody (MBChB, FRANZCR), Jeanette Soon (MBBS)

Department of Radiology, Royal Perth Hospital, Perth, WA 6000, Australia
 
Patient
male, 50 year(s)
 
 
  • Figure 1
    Initial CT chest examination
     

    Selected axial CT image shows multiple well-defined thick walled inter-communicating low attenuating collections within the posterior mediastinum surrounding and partially compressing the oesophagus. A complex thick...

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Selected coronal CT image further demonstrates the anatomical relationships of the mediastinal collections at well as its cranio-caudal extent.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Selected sagittal CT image further demonstrates anatomical relationships of the mediastinal collections at well as its cranio-caudal extent.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    Initial CT abdominal examination
     

    Axial CT abdominal image showing largely necrotic pancreatic gland with two peri-pancreatic pseudocysts and a large volume of ascites.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Coronal CT abdominal image showing largely necrotic pancreatic gland with two peri-pancreatic pseudocysts and a large volume of ascites.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Coronal CT abdominal image showing largely necrotic pancreatic gland with two peri-pancreatic pseudocysts and a large volume of ascites.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 3
    8 week follow up CT chest examination

    Follow up CT examination 8 weeks later demonstrates near-complete resolution of the mediastinal cystic lesions as well as the left basal pleural effusion.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
Selected axial CT image shows multiple well-defined thick walled inter-communicating low attenuating collections within the posterior mediastinum surrounding and partially compressing the oesophagus. A complex thick walled left posterior basal effusion also seen.
 
Selected coronal CT image further demonstrates the anatomical relationships of the mediastinal collections at well as its cranio-caudal extent.
 
Selected sagittal CT image further demonstrates anatomical relationships of the mediastinal collections at well as its cranio-caudal extent.
 
Axial CT abdominal image showing largely necrotic pancreatic gland with two peri-pancreatic pseudocysts and a large volume of ascites.
 
Coronal CT abdominal image showing largely necrotic pancreatic gland with two peri-pancreatic pseudocysts and a large volume of ascites.
 
Coronal CT abdominal image showing largely necrotic pancreatic gland with two peri-pancreatic pseudocysts and a large volume of ascites.
 
Follow up CT examination 8 weeks later demonstrates near-complete resolution of the mediastinal cystic lesions as well as the left basal pleural effusion.
 
 
 
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