EURORAD ESR

Case 14340

A case of mediastinal haematoma mimicking a mediastinal mass

Author(s)
Sahil Chaudhry1, Bharath Shetty2

AJ Hospital and Research Center,
AJ Institute of Medical Sciences;
Kuntikana 575004
Mangalore, India;
Email:sahilchaudhry89@gmail.com

1. MD Radiodiagnosis Resident
2. MD, DNB Associate Professor

AJ Hospital and Research Center, Aj Institute of Medical Sciences; kuntikana 575004 Mangalore, India; Email:sahilchaudhry89@gmail.com

AJ Hospital and Research Center, Aj Institute of Medical Sciences; kuntikana 575004 Mangalore, India; Email:sahilchaudhry89@gmail.com
 
Patient
male, 73 year(s)
 
 
  • Figure 1
    Frontal radiograph (19.07.2016) showing right paratracheal opacity

    Frontal radiograph showing a widening of the superior mediastinum on the right side with a wide right paratracheal stripe, negative cervicothoracic sign and elevated right hemidiaphragm.

     
    Area of Interest: Mediastinum; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 2
    Plain coronal CT showing defined medistinal mass

    Coronal CT reconstruction at mid-tracheal level shows a well-defined, oval-shaped, slightly hyperdense, homogenously attenuating mediastinal lesion. Cleavage with lung parenchyma and midline structures is well...

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 3
    Arterial phase CT showing no enhancement

    Arterial phase coronal reconstruction shows no increase in HU values. No cystic density, fat attenuation, calcifications, tracheal deviation, vascular compression.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 4
    Serial chest radiographs of the patient

    Follow-up radiograph in October shows interval reduction in the paratracheal lesion.

     
    Area of Interest: Mediastinum; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
Frontal radiograph showing a widening of the superior mediastinum on the right side with a wide right paratracheal stripe, negative cervicothoracic sign and elevated right hemidiaphragm.
 
Coronal CT reconstruction at mid-tracheal level shows a well-defined, oval-shaped, slightly hyperdense, homogenously attenuating mediastinal lesion. Cleavage with lung parenchyma and midline structures is well maintained.
 
Arterial phase coronal reconstruction shows no increase in HU values. No cystic density, fat attenuation, calcifications, tracheal deviation, vascular compression.
 
Follow-up radiograph in October shows interval reduction in the paratracheal lesion.
 
 
 
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