Mediastinal bronchogenic cyst

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Dyspnea and dysphagia.

Patient Data

Age: 45 years
Gender: Female

A sizable oval-shaped subcarinal cystic lesion is noted with homogeneous fluid density content and a thin wall. It widens the subcarinal angle, indenting the posterior aspect of the heart compressing the left atrium and compressing the esophagus. No septations, calcifications, or solid component is seen in it.

Case Discussion

The mediastinum, especially in subcarinal position is a classic location of a bronchogenic cyst.

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