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

    Homogeneous opacity in the right hemithorax silhouetting right hemidiaphragm, right heart 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 homogeneous 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- hypointense 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;
     
     
Homogeneous opacity in the right hemithorax silhouetting right hemidiaphragm, right heart 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 homogeneous enhancement on post-contrast image with non-enhancing necrotic areas within encasing the SVC.
 
Lesion appears iso- hypointense on T1 image
 
Lesion appears iso-intense on HASTE image
 
 
 
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