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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 50 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 50

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

Chief Complaint:
Three year old male with an incidentally noted chest mass

Clinical History:
The patient was a 3 year old male with a minor pectus excavatum. A mediastinal mass was incidentally noted on a chest film.

Clinical Physical Exam:
Minor pectus excavatum

Clinical Labs:

Clinical Differential Diagnosis:
Pectus excavatum.

Imaging Findings:
Chest film showed a middle mediastinal mass. The mass indented the esophagus on an esophagram (not provided). Chest CT exam showed the mass to lie behind the right bronchi and next to the esophagus.

icon gificon gifImages 1 and 2

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Imaging Differential Diagnosis:
Esophageal duplication cyst, bronchogenic cyst

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

Pathological Findings:
Pathological examination of the surgical specimen revealed the mass to be lined by esophageal mucosa. An esophageal duplication cyst was diagnosed.

Final Diagnosis:
Esophageal Duplication

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

Similar Cases:
Case 51


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