Paratracheal air cyst

Case contributed by Sandeep Singh Awal
Diagnosis certain

Presentation

Middle-aged man with cough since 5 days. RT-PCR for COVID-19 was positive.

Patient Data

Age: 50 years
Gender: Male
ct

Right sided, loculated paratracheal air cyst (~2x1.1x2.7cm) at the level of thoracic inlet. No connection seen with the trachea.

Focal area of ground glass opacity in apicoposterior segment of right upper lobe, consistent with COVID-19.

Case Discussion

Paratracheal air cysts are frequently seen on routine HRCT thorax scans and almost all arise from the right posterolateral trachea in this region. They should not be confused with pneumomediastinum.

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