Mediastinal lymph node enlargement

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Fever.

Patient Data

Age: Teenager
Gender: Male

Chest x-ray

x-ray

At the level of the aortic arch, on the right, is a density projecting laterally from the mediastinum. 

Annotated image

Annotated image

RIght sided mediastinal nodal mass (blue) mimics a right sided aortic arch. The normal left sided aortic arch (orange) has a normal appearance. 

CT chest (selected images)

ct

Multiple right sided paratracheal nodes are present, which appear of centrally of low density. 

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