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Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
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 Differential Diagnosis:
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.
Images 1 and 2
Imaging Differential Diagnosis:
Esophageal duplication cyst, bronchogenic cyst
The patient was taken to the operating room and the mass was removed surgically.
Pathological examination of the surgical specimen revealed the mass to be lined by esophageal mucosa. An esophageal duplication cyst was diagnosed.
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
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