Limits...
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.


© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX2345&req=5


Thoracic Neuroblastoma

Mellion MJM - MedPix (2007)

© Copyright Policy - open-access
Related In: Results  -  Collection

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

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.