Presentation
Patient presented for medical fitness chest assessment prior to commencement of a new job. Soon after he was involved in a RTA, from which he sustained a spinal injury.
Patient Data
Age: 25 years
Gender: Male
From the case:
Bronchogenic cyst - mediastinal
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Large thoracic mass on the post operative lateral spine - the known bronchogenic cyst.
From the case:
Bronchogenic cyst - mediastinal
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Review of the initial chest radiograph was taken for medical fitness purposes demonstrating a large right hilar mass.
The hilum overlay sign is evident.
From the case:
Bronchogenic cyst - mediastinal
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Cystic lesion in the right hilar region.
Case Discussion
Always review the whole film, whatever the indication. Often the most interesting or revealing pathology is elsewhere!