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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 38 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 38

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


Chief Complaint:
Eighteen year old female with right upper chest pain

Clinical History:
The patient was an 18 year old female who had right upper chest and shoulder pain exacerbated by movement and inspiration for a month.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Musculoskeletal injury

Imaging Findings:
A chest film showed an anterior mediastinal mass. A chest CT exam showed the mass to contain fluid, fat, and soft tissue.

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Imaging Differential Diagnosis:
Teratoma

Operative Findings:
The patient was taken electively to the operating room and the mass was removed.

Pathological Findings:
Pathological examination of the surgical specimen showed a mature cystic teratoma of probable thymic origin. Its components included pancreatic and thymic tissue.

Final Diagnosis:
Teratoma, Anterior Mediastinal

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

Similar Cases:
Case 33, Case 34, Case 37, Case 39, Case 40, Case 41, Case 60

References:

Title Page


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