Presentation
47 year old male presents with intermittent chest pain
Patient Data
Age: 47
Gender: Male
Frontal

Subtle left paravertebral mass behind the left atrial appendage
Frontal

The left thoracic paravertebral mass is better seen on the AXR.
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Axial C+ arterial phase

Longitudinally oriented left paravertebral mass, not related to the neuroforamina.
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Axial T1

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