Neurogenic tumor

Case contributed by David Little
Diagnosis almost certain

Presentation

Chest x-ray performed for ongoing cough

Patient Data

Age: 45 years
Gender: Female

Chest X-ray

x-ray

There is a mass projected over the right hilum. You can see the hilar vessels 'hilum overlay sign' suggesting this mass is either anterior or posterior. 

A contrast enhanced CT Chest is advised

Chest CT

ct

CT confirms the presence of a mass in the posterior right hemithorax. The lesion is centered on a neural foramina. It has a sclerotic margin within the vertebral body suggesting slow growth. Appearances suggest a neurogenic tumor. 

Case Discussion

Neurogenic tumors should be in the differential diagnosis for a posterior mediastinal mass.

 

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