Mediastinal extension of a pancreatic pseudocyst.

Radiol Case Rep

Department of Radiology, Emory University School of Medicine, Atlanta, GA, USA.

Published: December 2018

AI Article Synopsis

  • A 50-year-old man with chronic pancreatitis from alcohol use was initially treated for pleural effusions after experiencing dyspnea.
  • Two months later, he returned to the hospital with symptoms of coughing up blood and abdominal pain, prompting further imaging studies.
  • A CT and MRI revealed a mediastinal cystic mass linked to the retroperitoneum, later confirmed to be a pancreatic pseudocyst due to high amylase levels from an ultrasound-guided aspiration.

Article Abstract

A 50-year-old man with a history of chronic pancreatitis due to alcoholism presented with dyspnea, at which time he was diagnosed with pleural effusions, treated, and discharged. Two months later, he was readmitted with hemoptysis and abdominal pain. CT and MRI of the chest demonstrated a mediastinal cystic mass that communicated with the retroperitoneum. Ultrasound-guided aspiration of the cystic mass revealed high levels of amylase, confirming that the mass was a rare pancreatic pseudocyst extending into the mediastinum.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140621PMC
http://dx.doi.org/10.1016/j.radcr.2018.08.016DOI Listing

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