Right hilar mass

Case contributed by Stefan Tigges
Diagnosis certain

Presentation

Right hilar mass seen on thoracic spine series obtained to evaluate back pain.

Patient Data

Age: 35 years.
Gender: Female
x-ray
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Info

Right hilar mass, mild patchy atelectasis, otherwise normal.

ct
This study is a stack
Axial lung
window
This study is a stack
Axial C+
arterial phase
This study is a stack
Coronal
lung window
This study is a stack
Coronal C+
arterial phase
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Info

Right hilar mass, otherwise normal.

Case Discussion

Because the right pulmonary artery is "silhouetted" by the mass, the mass must be in the right hilum. The hilar location of the mass is confirmed on the CT scan. This case is meant as a companion to another case with the "hilum overlay" sign, where the pulmonary artery remains visible "through" the mass because the mass is either in front of the hilum, not in the hilum. The mass was biopsied: the final pathologic diagnosis was benign reactive lymph node.

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