Esophageal leiomyoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Work up for chest pain.

Patient Data

Age: 65 years
Gender: Male

A 42×38 mm well defined soft tissue density mass is present at the right lower mediastinum, lateral to the esophagus, and posteromedial to the IVC. There is no sign of local invasion to the adjacent structures.

Case Discussion

Lower mediastinal mass; exophytic esophageal leiomyoma is a probable diagnosis.

However, the differential list could consider esophageal GIST and other benign looking mediastinal masses arising close to the esophagus.

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