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An unusual cause of posterior mediastinal cyst.

Dhooria S, Muthu V, Agarwal R - Lung India (2015 Nov-Dec)

Bottom Line: Cysts in the posterior mediastinum are generally developmental cysts and are neurogenic or of foregut origin.We report the case of a 14-year-old boy, who presented with dry cough and progressively increasing breathlessness, and was found to have a cystic lesion in the posterior mediastinum.Fine needle aspiration from the cyst helped make a diagnosis of tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Haryana and Punjab, India.

ABSTRACT
Cystic lesions of the mediastinum may be congenital or acquired. The differential diagnosis depends on their location in the mediastinum. Cysts in the posterior mediastinum are generally developmental cysts and are neurogenic or of foregut origin. We report the case of a 14-year-old boy, who presented with dry cough and progressively increasing breathlessness, and was found to have a cystic lesion in the posterior mediastinum. Fine needle aspiration from the cyst helped make a diagnosis of tuberculosis.

No MeSH data available.


Related in: MedlinePlus

Chest radiograph showing mediastinal widening in the superior part
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Figure 1: Chest radiograph showing mediastinal widening in the superior part

Mentions: A chest radiograph was performed, which revealed a widening of the superior mediastinum [Figure 1]. Computed tomography (CT) of the chest revealed the presence of a multiloculated cystic mass located posterior to the trachea, starting at the level of the thoracic inlet and extending to the level of the carina [Figure 2]. Laboratory investigations revealed anemia (hemoglobin 10.2 g/dL), with normal leucocytes (5,800/µL) and platelet counts (232,000/µL). He had deranged liver functions (bilirubin 0.3 mg/dL, aspartate transaminase 54 U/L [N, 0-35], alanine transaminase 103 U/L [N, 0-35], and alkaline phosphatase 212 U/L [N, 0-130]). An ultrasound of the abdomen showed normal liver size and echotexture.


An unusual cause of posterior mediastinal cyst.

Dhooria S, Muthu V, Agarwal R - Lung India (2015 Nov-Dec)

Chest radiograph showing mediastinal widening in the superior part
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663866&req=5

Figure 1: Chest radiograph showing mediastinal widening in the superior part
Mentions: A chest radiograph was performed, which revealed a widening of the superior mediastinum [Figure 1]. Computed tomography (CT) of the chest revealed the presence of a multiloculated cystic mass located posterior to the trachea, starting at the level of the thoracic inlet and extending to the level of the carina [Figure 2]. Laboratory investigations revealed anemia (hemoglobin 10.2 g/dL), with normal leucocytes (5,800/µL) and platelet counts (232,000/µL). He had deranged liver functions (bilirubin 0.3 mg/dL, aspartate transaminase 54 U/L [N, 0-35], alanine transaminase 103 U/L [N, 0-35], and alkaline phosphatase 212 U/L [N, 0-130]). An ultrasound of the abdomen showed normal liver size and echotexture.

Bottom Line: Cysts in the posterior mediastinum are generally developmental cysts and are neurogenic or of foregut origin.We report the case of a 14-year-old boy, who presented with dry cough and progressively increasing breathlessness, and was found to have a cystic lesion in the posterior mediastinum.Fine needle aspiration from the cyst helped make a diagnosis of tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, Haryana and Punjab, India.

ABSTRACT
Cystic lesions of the mediastinum may be congenital or acquired. The differential diagnosis depends on their location in the mediastinum. Cysts in the posterior mediastinum are generally developmental cysts and are neurogenic or of foregut origin. We report the case of a 14-year-old boy, who presented with dry cough and progressively increasing breathlessness, and was found to have a cystic lesion in the posterior mediastinum. Fine needle aspiration from the cyst helped make a diagnosis of tuberculosis.

No MeSH data available.


Related in: MedlinePlus