Superior vena cava invasion and stenosis

Case contributed by Pavel Nikolaev
Diagnosis almost certain


The history of сhemotherapeutic treatment of a mediastinal tumor. Dynamic CT-control of treatment is requested. No previous studies results.

Patient Data

Age: 50
Gender: Male

Paraaortic soft tissue mass in the anterior mediastinum with invasion and stenosis of the superior vena cava. Moderate infiltration of the adjacent fat.

Single enlarged lymph nodes of the anterior mediastinum

Low density of the heart, thoracic and abdominal aorta in the arterial phase.

Hight density of extended cava-caval anastomoses: vv. prenicae inferiores dexrtrae, v. lumbalis, v. toracoepigasrica, v. toracica interna, vv. epigastricae superior et superficialis.

Early contrast enhancement of the inferior vena cava through the vv. prenicae inferiores dexrtrae and v. lumbalis.

Annotated image

Hight density of extended cava-caval anastomoses:

  • vv. prenicae inferiores dexrtrae
  • v. lumbalis
  • v. toracoepigasrica
  • v. toracica interna
  • vv. epigastricae superior et superficialis

Case Discussion

A demonstrative example of superior vena cava syndrome with visualization of dilated cava-caval anastomoses. 

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