Presentation
Shortness of breath.
Patient Data
Massive right sided pleural effusion with displacement of the tracheal and other mediastinal structures to the left.
Massive right-sided fluid density cystic lesion with thin internal septations along with slight extension to the left side causing collapse of the adjacent lobes , and trachea and mediastinum deviation towards the left side, measures almost 19 cm in its thickness .
The left lung is clear.
Post surgical excision of the right sided lymphongioma .
Case Discussion
Lymphangiomas are rare, benign lymphatic lesions that arise from proliferation of lymphatic vessels.
The most common location for lymphangiomas is neck and axilla, with only 1% seen in the mediastinum.
Lymphangioma radiological features include a multilocular cystic structure with thin septations. Post-contrast images may show a septal enhancement.
Surgical resection is mostly curative , with low rate of recurrence.