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Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was an 18 year old female with shingles of the chest wall. A chest film was obtained and showed an incidental chest mass.
Clinical Physical Exam:
Shingles along the chest wall.
Clinical Differential Diagnosis:
Chest film showed a retrocardiac mass that appeared cystic on a chest CT exam.
Images 1 and 2
Imaging Differential Diagnosis:
Esophageal duplication cyst
At surgery, a cyst was encountered in the esophageal wall that was encircled by esophageal muscular fibers, and the cyst was adjacent to the esophageal mucosa. The cyst was removed.
Pathological examination of the cyst showed it to be lined by pseudostratified columnar epithelium. Due to the presence of cartilage, the diagnosis of bronchogenic cyst was made.
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
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