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대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesImaging Conference Cases

Case No : 9

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  • Age/Sex 34 / M
  • Case Title Chest dicsomfort for one month
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Courtesy
Sanggye Paik Hospital, Inje University
Imaging Findings
- sharply marginated

- round, oval or lobulated contour

- homogeneous

- water attenuation or soft tissue attenuation

- non-enhancement (77%)

mural enhancement (23%)

- calcification (10%) : cyst wall or cystic content
Discussion
Pathogenesis
- between the 26th and 40th day of GA

- result from abnormal budding of ventral foregut


Clinical Findings
- first 4 decades of life (84%)

- asymptomatic (40%)

- chest pain, dyspnea, respiratory infection,

wheezing, cough, dysphagia and pneumothorax


Location

Mediastinal (85%)

- middle (79%), posterior (17%), anterior (3%)

- subcarina (52%), paratrachea (19%),

esophageal wall (14%), retrocardiac area (9%)

Extramediastinal (15%)

- lung parenchyma, diaphragm, pleura


Treatment

Removal

- symptomatic cyst

- asymptomatic cyst in young adult

Wait and see

- asymptomatic adult

- high risk patient
Reference
Pathogenesis
- between the 26th and 40th day of GA

- result from abnormal budding of ventral foregut


Clinical Findings
- first 4 decades of life (84%)

- asymptomatic (40%)

- chest pain, dyspnea, respiratory infection,

wheezing, cough, dysphagia and pneumothorax


Location

Mediastinal (85%)

- middle (79%), posterior (17%), anterior (3%)

- subcarina (52%), paratrachea (19%),

esophageal wall (14%), retrocardiac area (9%)

Extramediastinal (15%)

- lung parenchyma, diaphragm, pleura


Treatment

Removal

- symptomatic cyst

- asymptomatic cyst in young adult

Wait and see

- asymptomatic adult

- high risk patient
Keywords
Lung, Congenital,
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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