Presentation
Cough, raised inflammatory markers. ? LRTI.
Patient Data
Age: 70 years
Gender: Male
From the case:
Thoracic sympathectomy
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Multiple surgical clips seen in upper mediastinum bilaterally, at the level of and superior to the sternoclavicular joints.
No active pulmonary process.
Case Discussion
Thoracic symphatectomy is performed most commonly in cases of reflex sympathetic dystrophy, Raynauds disease, hyperhidrosis and facial blushing.
The patient had a history of scleroderma, therefore symphatectomy was most likely performed due to Raynaud disease.