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Thorax 2004;59:820; doi:10.1136/thx.2004.027359
Copyright © 2004 BMJ Publishing Group Ltd & British Thoracic Society.
Thorax 2004;59:820
© 2004 BMJ Publishing Group Ltd & British Thoracic Society

Images in Thorax

Lymphangioma: a rare cause of a mediastinal mass

R J Parker, P J Cadman, C G Wathen

Wycombe Hospital, High Wycombe, Buckinghamshire HP11 2TT, UK

Correspondence to:
Correspondence to:
Dr R J Parker
Thoracic Medicine Office, Wycombe Hospital, High Wycombe, Buckinghamshire HP11 2TT, UK; robertparker@doctors.org.uk

Keywords: oesophageal lymphangioma; mediastinal mass

The first 150 words of the full text of this article appear below.

A chest radiograph performed on an asymptomatic 47 year old man under investigation for hypertension was suspicious of a retrocardiac mass. Contrast enhanced computed tomographic (CT) scanning demonstrated a large low attenuation mass encasing the oesophagus. It extended from the carina to the diaphragm and measured 15 x 7 cm in diameter (fig 1Go). The air space consolidation and small pleural effusion at the base of the left lung were judged incidental findings as they had completely resolved 1 week later when a CT guided biopsy was attempted. A barium swallow showed that the oesophagus was of abnormal calibre but emptied promptly. Video assisted thoracoscopic biopsy was undertaken.


 


Learning points

  • The symptoms caused by a mass are not always correlated with its location and size.
  • The posterior mediastinum is a potential source of pathology for the respiratory physician.


Histological . . . [Full text of this article]


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