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. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.