Posterior mediastinal ganglioneuroma

Case contributed by Dr Paul Leong

Patient Data

Age: 30
Gender: Female

On the frontal there is a left-sided retrocardiac/paravertebral opacity. There is associated minor scoliosis of the thoracic spine.

Conclusion - Left posterior mediastinal / paravertebral lesion. 

There is a left paravertebral mass lesion, extending from the T7 - T11 vertebral levels. The mass is soft tissue density, and also demonstrates small foci of calcification. There is some associated scalloping of the left side of the adjacent thoracic vertebral bodies, indicating a slow growing lesion. No bone erosion or destruction. There is no extension into the neural exit foramen, or widening of the intercostal spaces.

The appearance favours a neurogenic tumour, likely arising from the sympathetic trunk.

Left paravertebral lesion, heterogenous T2 high signal. No associated contrast enhancement. No evidence of extension into the spinal canal.

Case Discussion

Imaging appearances are suggestive of a neurogenic tumour, related to the sympathetic trunk.

VATS excision biopsy showed a ganglioneuroma. 

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Case information

rID: 26809
Case created: 9th Jan 2014
Last edited: 13th Mar 2016
System: Chest
Inclusion in quiz mode: Included

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