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A mass that has no (EBUS) echo
We report findings for a patient that underwent endobronchial ultrasound (EBUS) guided transbronchial needle aspiration (TBNA) for diagnostic purposes after an abnormal chest CT. The patient initially presented with cough and shortness of breath. Chest CT revealed a 6 cm soft tissue mass with mildly...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686471/ https://www.ncbi.nlm.nih.gov/pubmed/29167754 http://dx.doi.org/10.1016/j.rmcr.2017.11.001 |
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author | Rosenblum, Matthew K. Wang, Sue X. Seeley, Eric J. |
author_facet | Rosenblum, Matthew K. Wang, Sue X. Seeley, Eric J. |
author_sort | Rosenblum, Matthew K. |
collection | PubMed |
description | We report findings for a patient that underwent endobronchial ultrasound (EBUS) guided transbronchial needle aspiration (TBNA) for diagnostic purposes after an abnormal chest CT. The patient initially presented with cough and shortness of breath. Chest CT revealed a 6 cm soft tissue mass with mildly enlarged right hilar lymph nodes (LNs) and a small right sided pleural effusion. Based on these radiologic findings, the patient underwent an EBUS guided FNA of the mass. To our surprise, the mass was hypoechoic by EBUS and on aspiration, the syringe filled with yellow fluid. This finding in combination with a re-review of the CT scans with a special focus on the Hounsfield Units of the lesion confirmed the diagnosis of a mediastinal bronchogenic cyst. This case demonstrates the role of Hounsfield units in analyzing mediastinal masses and highlights the effectiveness of EBUS guided TBNA in diagnosis and treatment of bronchogenic cysts. |
format | Online Article Text |
id | pubmed-5686471 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56864712017-11-22 A mass that has no (EBUS) echo Rosenblum, Matthew K. Wang, Sue X. Seeley, Eric J. Respir Med Case Rep Case Report We report findings for a patient that underwent endobronchial ultrasound (EBUS) guided transbronchial needle aspiration (TBNA) for diagnostic purposes after an abnormal chest CT. The patient initially presented with cough and shortness of breath. Chest CT revealed a 6 cm soft tissue mass with mildly enlarged right hilar lymph nodes (LNs) and a small right sided pleural effusion. Based on these radiologic findings, the patient underwent an EBUS guided FNA of the mass. To our surprise, the mass was hypoechoic by EBUS and on aspiration, the syringe filled with yellow fluid. This finding in combination with a re-review of the CT scans with a special focus on the Hounsfield Units of the lesion confirmed the diagnosis of a mediastinal bronchogenic cyst. This case demonstrates the role of Hounsfield units in analyzing mediastinal masses and highlights the effectiveness of EBUS guided TBNA in diagnosis and treatment of bronchogenic cysts. Elsevier 2017-11-10 /pmc/articles/PMC5686471/ /pubmed/29167754 http://dx.doi.org/10.1016/j.rmcr.2017.11.001 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Rosenblum, Matthew K. Wang, Sue X. Seeley, Eric J. A mass that has no (EBUS) echo |
title | A mass that has no (EBUS) echo |
title_full | A mass that has no (EBUS) echo |
title_fullStr | A mass that has no (EBUS) echo |
title_full_unstemmed | A mass that has no (EBUS) echo |
title_short | A mass that has no (EBUS) echo |
title_sort | mass that has no (ebus) echo |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686471/ https://www.ncbi.nlm.nih.gov/pubmed/29167754 http://dx.doi.org/10.1016/j.rmcr.2017.11.001 |
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