Bronchogenic cyst: posterior mediastinal

Case contributed by Dr Domenico Nicoletti


Incidental finding

Patient Data

Age: 48
Gender: Female

During angio CT examination on the left, in the posterior mediastinum, is visible paravertebral ovalar extrapleural lesion with water density and regular margins, with thin distal pedicle

The lesion has hyperintense signal in T2 sequences while is ipointense in T1.

There isn't enhancement and communication with neural canal

Case Discussion

Bronchogenic cyst is a benign cystic formation consisting of a lung disease caused by an abnormal intrauterine growth retardation of the bronchial tree. The cysts may be mediastinal, intrapulmonary, pericardial, retroperitoneal, and skin.

the bronchogenic cyst may be asymptomatic and be discovered with a chest x-ray or can cause shortness of breath, chest pain, dysphagia

The treatment is surgery with complete removal of the cyst, urgent in infants with important respiratory failure.

Surgery is also indicated without symptoms because the bronchogenic cyst can become infected, grow and degenerate

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Case information

rID: 43885
Published: 27th Mar 2016
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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