Presentation
Work up for chest pain.
Patient Data
Age: 65 years
Gender: Male
From the case:
Esophageal leiomyoma
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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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