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Images in Thorax
Fibrosing mediastinitis: ‘haemoptysis in the Heartland’
  1. Prince Ntiamoah1,
  2. Jui Rakesh Shah2,
  3. Subha Ghosh3,
  4. Atul Mehta4
  1. 1 Respiratory institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
  2. 2 Smt NHL Medical College, Ahmedabad, Gujarat, India
  3. 3 Department of Diagnostic radiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
  4. 4 Respiratory Institute, Department of Pulmonary Medicine, Cleveland Clinic, Cleveland, Ohio, USA
  1. Correspondence to Dr Atul Mehta, Respiratory Institute, Department of Pulmonary Medicine, Cleveland Clinic, Cleveland, OH 44195, USA; mehtaa1{at}ccf.org

https://doi.org/10.1136/thorax-2023-220240

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    Fibrosing mediastinitis (FM) is an uncommon cause of haemoptysis, characterised by sclerosis of the mediastinum that may occur as an inflammatory sequela of histoplasmosis, lymphoma, sarcoidosis or an idiopathic process. Bleeding is predominantly due to concomitant collateral vessels and engorgement. However, the endobronchial findings obtained via flexible bronchoscopy are not clearly defined in the literature.1

    Here, we present the case of a 41-year-old woman with no prior medical history who presented with a 2-month history of exertional dyspnoea and recurrent haemoptysis. Chest CT showed complete obstruction of the right inferior pulmonary vein and marked stenosis of the right superior pulmonary vein due to circumferential encasement …

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    Footnotes

    • Twitter @Princemendel, @ACM_LTx_Bronch

    • Contributors PN: writing, formatting, editing, submission of manuscript. JRS: writing and editing of manuscript. AM: editing of Manuscript. SG: editing of manuscript, acquisition of figures and writing of figure legend.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.