Presentation
Chest x-ray performed for ongoing cough
Patient Data
Age: 45 years
Gender: Female
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There is a mass projected over the right hilum. You can see the hilar vessels 'hilum overlay sign' suggesting this mass is either anterior or posterior.
A contrast enhanced CT Chest is advised
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CT confirms the presence of a mass in the posterior right hemithorax. The lesion is centered on a neural foramina. It has a sclerotic margin within the vertebral body suggesting slow growth. Appearances suggest a neurogenic tumor.
Case Discussion
Neurogenic tumors should be in the differential diagnosis for a posterior mediastinal mass.