Superior mediastinal abscess

Case contributed by Dr Craig Hacking

Presentation

Septic

Patient Data

Age: 29
Gender: Male
Modality: X-ray

The superior mediastinal collection has reaccumulated since the prior CXR from 4 years prior. This measures up to 8.5 cm transversely, has an air fluid level superiorly and displaces the trachea to the right with mild lateral flattening. This lies in the same location as the initial CXR though is larger. No free pneumomediastinum or gas tracking into the base of neck. Heart size is normal. Lungs and pleural spaces are clear. No pneumothorax or pleural fluid collection.

Findings are consistent with recurrence of para-oesophageal abscess.

Case Discussion

Abscess drained surgically.

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Case Information

rID: 39342
Case created: 1st Sep 2015
Last edited: 9th Oct 2015
System: Chest
Inclusion in quiz mode: Included

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