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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 35 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 35

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Chief Complaint:
Seven year old female with wheezing

Clinical History:
This patient was a seven year old female with a first episode of wheezing at seven years of age.

Clinical Physical Exam:

Clinical Labs:

Clinical Differential Diagnosis:
Airway obstruction

Imaging Findings:
A chest film demonstrated a left superior mediastinal mass. A chest CT exam showed the mass was not calcified.

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Imaging Differential Diagnosis:
Neuroblastoma / Ganglioneuroblastoma / Ganglioneuroma, Esophageal duplication cyst, Bronchogenic cyst

Operative Findings:
The mass was electively excised.

Pathological Findings:
Pathological examination of the mass revealed findings characteristic for a ganglioneuroma.

Final Diagnosis:
Ganglioneuroma, Posterior Mediastinal

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.

Similar Cases:
Case 32, Case 36, Case 42, Case 70


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