Fibrosing mediastinitis manifesting as thoracic prevertebral thin band-like mass on MRI and PET-CT.

Published on Jul 1, 2007in British Journal of Radiology2.196
· DOI :10.1259/BJR/98272327
Kyung-Yung Lee9
Estimated H-index: 9
(Konkuk University),
J G Yi1
Estimated H-index: 1
+ 3 AuthorsJin Sung Kim15
Estimated H-index: 15
Sources
Abstract
To our knowledge, no report exists of a posterior mediastinal thin band-like mass as a manifestation of fibrosing mediastinitis. A man showed right pleural effusion on chest radiograph. On CT, there was a band-like mass on thoracic prevertebral area. MRI demonstrated the enhancing longitudinal band-like mass all along the vertebrae on coronal and sagittal scans. It was hypermetabolic on PET–CT and there was another hot mass in the presacral area. Additional pelvic MRI showed presacral mass with aortic encasement. Biopsy specimen was consistent with fibrosing mediastinitis. We report a case of fibrosing mediastinitis of posterior mediastinum manifesting as thoracic prevertebral band-like mass and discontiguous presacral, periaortic mass studied with CT, MRI and PET-CT.
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