EURORAD ESR

Case 15511

Multimodality imaging in a case of paediatric SVC syndrome

Author(s)
Dr.Meghanaa Jayakumar, Dr.Aniruddha Rangari

pk das institute of medical sciences, vaniamkulam, India; Email:meghpsbb@gmail.com
 
Patient
male, 8 year(s)
 
 
  • Figure 1
    Massive pleural effusion on chest radiograph

    Homogenous opacity in the right hemithorax silhouetting right hemidiaphragm,right hear border and obscuring right costophrenic angle causing tracheomediastinal shift to left – massive right pleural effusion

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Localisation; Special Focus: Neoplasia;
     
     
  • Figure 2
    ultrasound chest
     

    Iso to mildly hyperechoic mass lesion with no significant internal vascularity in close proximity to great vessels

     
    Area of Interest: Thorax; Imaging Technique: Ultrasound; Procedure: Localisation; Special Focus: Neoplasia;

    Lesion in close proximity to heart

     
    Area of Interest: Thorax; Imaging Technique: Ultrasound; Procedure: Localisation; Special Focus: Neoplasia;
     
     
  • Figure 3
    Axial CT images
     

    Fairly defined anterior mediastinal mass lesion with right pleural effusion

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Localisation; Special Focus: Neoplasia;

    Minimal relatively homogenous enhancement on post contrast image with non enhancing necrotic areas within encasing the SVC.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Localisation; Special Focus: Neoplasia;
     
     
  • Figure 4
    Screening MRI images
     

    Lesion appears iso- ypointense on T1 image

     
    Area of Interest: Thorax; Imaging Technique: MR; Procedure: Localisation; Special Focus: Neoplasia;

    Lesion appears iso-intense on HASTE image

     
    Area of Interest: Thorax; Imaging Technique: MR; Procedure: Localisation; Special Focus: Neoplasia;
     
     
Homogenous opacity in the right hemithorax silhouetting right hemidiaphragm,right hear border and obscuring right costophrenic angle causing tracheomediastinal shift to left – massive right pleural effusion
 
Iso to mildly hyperechoic mass lesion with no significant internal vascularity in close proximity to great vessels
 
Lesion in close proximity to heart
 
Fairly defined anterior mediastinal mass lesion with right pleural effusion
 
Minimal relatively homogenous enhancement on post contrast image with non enhancing necrotic areas within encasing the SVC.
 
Lesion appears iso- ypointense on T1 image
 
Lesion appears iso-intense on HASTE image
 
 
 
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