COMPUTED TOMOGRAPHIC EVALUATION OF MEDIASTINAL MASSES

Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 57

Abstract

  [b]OBJECTIVES[/b]: The objectives of our study being categorization of the masses according to the mediastinal compartments, study their CT characteristics and to compare the CT findings with histopathological findings.[b] MATERIALS AND METHODS[/b]: Patients who were suspected to have a mediastinal mass either on clinical examination or on the basis of an abnormal chest radiograph. Thorough clinical history and clinical examination of the patients was done before CT examination. The images were studied in mediastinal, lung and bone window settings. Biopsy of the masses was taken wherever possible.[b] RESULTS[/b]: Our study included a total of 50 cases, 31males and 19 females. Cough (n=35, 70%) and dyspnoea (n=28, 46%) were the major presenting complaints. Anterior mediastinum (n=15, 39.4%) is the most commonly involved compartment followed by posterior mediastinum (n=12, 31.5%) and middle mediastinum (n=11, 28.9%). Trans compartmental involvement is more commonly seen involving the anterior and middle mediastinum. The majority of the mediastinal masses are well defined (n=36, 72%), with soft tissue (n=34, 68%) attenuation on plain CT, showing heterogeneous enhancement (n=22, 44%) on contrast study. Masses involved the adjacent structures in 48% cases (n=24) and associated lung findings and bony changes were seen in 64% (n=32) and 14% cases (n=7) respectively. [b]CONCLUSION[/b]: To conclude, CT is an important modality in the evaluation of mediastinal masses for their exact localization, analyzing their morphology and arriving at a provisional diagnosis for optimal patient management.

Authors and Affiliations

Shashikumar M. R. , Rajendra Kumar , Nanjaraj C. P. , Pradeep Kumar, Manupratap N. , Chandrashekar H. M.

Keywords

Related Articles

  MONITORING DEPTH OF ANAESTHESIA USING PRST SCORE AND BISPECTRAL INDEX

  BACKGROUND: Intraoperative awareness is a frightening experience for any patient for it has long term psychological consequences. Among the various tools available for monitoring depth ofanaesthesia, Bis...

A STUDY OF CORRELATION OF BODY MASS INDEX AND PEAK EXPIRATORY FLOW RATE WITH FEV1 IN PATIENTS OF COPD

BACKGROUND COPD is an important public health challenge characterized by obstruction to airflow that is not reversible. Low BMI is also considered as an independent negative determinant of survival in patients with COPD....

SPECTRUM OF FUNGAL ISOLATES IN DIFFERENT CLINICAL SAMPLES

BACKGROUND Fungal infections are on the rise due to changing practices in medical care; increase in the immunocompromised states, and due to increase in the use of antibiotics and steroid therapy. Currently, the awarenes...

 DISTAL ARTHROGRYPOSIS MULTIPLEX CONGENITA WITH MULTISYSTEM INVOLVEMENT: A CASE REPORT

 Arthrogryposis Multiplex Congenita (AMC) is an uncommon but easily recognizable syndrome of musculoskeletal system. All four extremities and the trunk may be affected. The hallmark of this entity is the lack of a...

CORRELATION OF HbA1c, LIPID PROFILE AND FASTING BLOOD SUGAR AND DURATION OF DIABETES MELLITUS WITH SEVERITY OF DIABETIC RETINOPATHY

BACKGROUND We have studied patients having diabetic retinopathy attending the Department of Ophthalmology, Katuri Medical College, Guntur in a cross-sectional, hospital-based, non-interventional study. Aim- To study the...

Download PDF file
  • EP ID EP101146
  • DOI 10.14260/jemds/2015/1440
  • Views 95
  • Downloads 0

How To Cite

Shashikumar M. R. , Rajendra Kumar, Nanjaraj C. P. , Pradeep Kumar, Manupratap N. , Chandrashekar H. M. (2015).  COMPUTED TOMOGRAPHIC EVALUATION OF MEDIASTINAL MASSES. Journal of Evolution of Medical and Dental Sciences, 4(57), 9951-9962. https://europub.co.uk/articles/-A-101146