Paratracheal lymphadenopathy

Case contributed by Dr David Little

Presentation

GP chest x-ray - presenting with cough

Patient Data

Gender: Male
X-ray

There is widening of the right paratracheal stripe which is concerning for lymphadenopathy. The right hilum is also a little bulky which may also be due to lymphadenopathy. 

CT

CT confirms the presence of right paratracheal lymphadenopathy. There is also bilateral hilar and mediastinal lymphadenopathy as well as mildly enlarged bilateral supraclavicular nodes.

  Biopsy in this case showed this was due to lymphoma.

Case Discussion

The right paratracheal stripe is usually less than 4mm wide on chest x-ray.

Widening of the paratracheal stripe is a non-specific finding but may indicate paratracheal lymphadenopathy, the differential for which includes; lymphoma, TB and sarcoid. 

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Case information

rID: 62243
Published: 7th Aug 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Royal United Hospital Bath

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