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Thoracic Neuroblastoma

Mellion MJM - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Childrens Hospital of Dayton, OH

ABSTRACT

Diagnosis: Thoracic Neuroblastoma

History: 4-month-old baby boy presents with persistent cough.

Findings: • Frontal view of the chest shows a large right paraspinal mass with splaying of the 3rd and 4th posterior ribs. • Non-contrast CT image of the chest below the carina shows a soft-tissue paraspinal mass with calcification medially. • Contrast-enhanced CT image above the carina shows epidural extension. Ovoid region of enhancement; and, anteriorly is atelectatic lung. • Pre- and post-contrast T1-weighted MR images show the mass to be of intermediate intensity with heterogeneous enhancement. The mass abuts the trachea and epidural extension is clearly seen. • Sagittal T2-weighted MR image shows extension of the mass into the right neural foramina from T2-T4.

Ddx: • Neuroblastoma • Ganglioneuroblastoma • Ganglioneuroma • Neurofibroma • Schwannoma • Rhabdomyosarcoma

Dxhow: Biopsy and Pathology

Exam: Vital signs are normal. Lungs are clear bilaterally and heart demonstrates a regular rate and rhythm. The remainder of the physical exam is unremarkable. Laboratory studies including CBC and CMP are within normal limits.

No MeSH data available.


Pre-contrast T1 (left image) and post-contrast fat-suppressed T1-weighted (right image) MR of the chest show the mass to be of intermediate intensity. There is heterogeneous enhancement and epidural extension via the neural foramen (arrow) is clearly seen.
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MPX2345_synpic36298: Pre-contrast T1 (left image) and post-contrast fat-suppressed T1-weighted (right image) MR of the chest show the mass to be of intermediate intensity. There is heterogeneous enhancement and epidural extension via the neural foramen (arrow) is clearly seen.


Thoracic Neuroblastoma

Mellion MJM - MedPix (2007)

Pre-contrast T1 (left image) and post-contrast fat-suppressed T1-weighted (right image) MR of the chest show the mass to be of intermediate intensity. There is heterogeneous enhancement and epidural extension via the neural foramen (arrow) is clearly seen.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2345&req=5

MPX2345_synpic36298: Pre-contrast T1 (left image) and post-contrast fat-suppressed T1-weighted (right image) MR of the chest show the mass to be of intermediate intensity. There is heterogeneous enhancement and epidural extension via the neural foramen (arrow) is clearly seen.

View Article: MedPix Image - MedPix Case

Affiliation: Childrens Hospital of Dayton, OH

ABSTRACT

Diagnosis: Thoracic Neuroblastoma

History: 4-month-old baby boy presents with persistent cough.

Findings: • Frontal view of the chest shows a large right paraspinal mass with splaying of the 3rd and 4th posterior ribs. • Non-contrast CT image of the chest below the carina shows a soft-tissue paraspinal mass with calcification medially. • Contrast-enhanced CT image above the carina shows epidural extension. Ovoid region of enhancement; and, anteriorly is atelectatic lung. • Pre- and post-contrast T1-weighted MR images show the mass to be of intermediate intensity with heterogeneous enhancement. The mass abuts the trachea and epidural extension is clearly seen. • Sagittal T2-weighted MR image shows extension of the mass into the right neural foramina from T2-T4.

Ddx: • Neuroblastoma • Ganglioneuroblastoma • Ganglioneuroma • Neurofibroma • Schwannoma • Rhabdomyosarcoma

Dxhow: Biopsy and Pathology

Exam: Vital signs are normal. Lungs are clear bilaterally and heart demonstrates a regular rate and rhythm. The remainder of the physical exam is unremarkable. Laboratory studies including CBC and CMP are within normal limits.

No MeSH data available.