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Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Clinical History:
At the age of two years this male patient had a cough and fever. A
chest film taken at that time to rule out pneumonia (not provided)
showed infiltrate and a right mediastinal fullness which was felt to
represent thymus. The patient now presents at the age of six again
with cough and fever.
Clinical Physical Exam:
Febrile
Clinical Labs:
Non-contributory
Clinical Differential Diagnosis:
Pneumonia
Imaging Findings:
A chest film showed a mediastinal mass. A barium swallow (not
provided) showed minor displacement of the esophagus to the left. A
chest CT exam showed the mass to be in the posterior mediastinum and
to be of fatty density.
Imaging Differential Diagnosis:
Lipoma
Operative Findings:
The patient underwent elective removal of the mass.
Pathological Findings:
Pathological examination showed the mass to consist mainly of mature
lipocytes, as there were a few lipoblasts and little fibrous tissue.
Final Diagnosis:
Lipoma, Posterior Mediastinal
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Similar Cases:
Case 32,
Case 35,
Case 36,
Case 42,
Case 70
References:
None
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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