Paraganglioma

Case contributed by John Bui

Presentation

47 year old male presents with intermittent chest pain

Patient Data

Age: 47
Gender: Male

CXR

x-ray
Subtle left paravertebral mass behind the left atrial appendage

AXR

x-ray
The left thoracic paravertebral mass is better seen on the AXR.

CT chest + C

ct
Longitudinally oriented left paravertebral mass, not related to the neuroforamina.

MRI with contrast

mri
Post-contrast imaging shows the typical avid arterial enhancement of a paraganglioma, confirmed by histology from resected specimen.

Case Discussion

The longitudinal orientation and intense arterial enhancement are characteristic of a paraganglioma.

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