Mediastinal bronchogenic cyst with aspiration pneumonia

Case contributed by Dr Mohammad A. ElBeialy


Chest pain and cough with mild fever.

Patient Data

Age: 5 years

  • A multi-locular subcarinal posterior mediastinal cystic lesion is seen. It shows low T1 and high T2 signal intensity. The lesion measures 7 X 3.5 X 2.7 cm in its maximal cranio-caudal and axial dimensions. The lesion is seen splaying the carina and abutting the aortic arch and its main vessels. The lesion is splaying and indenting the oesophagus right postero-laterally.
  • Bilateral lower lung lobes’ apical segments as well as left lung upper lobe apico-posterior segment and right lung lower lobe posterior segment subsegmental consolidation with air bronchogram are seen.
  • Normal heart and great vessels.
  • No hilar masses or lymph nodal enlargement.

Case Discussion

Subcarinal posterior mediastinal cystic lesion; consistent with bronchogenic cyst with bilateral pulmonary consolidations, suggestive of aspiration pneumonia.

PlayAdd to Share

Case information

rID: 28198
Published: 14th Mar 2014
Last edited: 16th Dec 2015
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

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

Alert accept Thank you for updating your details.