PMC10064460_01
Emergency chest CT scan findings after admission. (a) Chest CT revealed a paraspinal mass in the left posterior mediastinum (black asterisk) and pleural effusion (white arrowhead). (b) Chest CT revealed overinflation in the left lower lobe (white asterisk) and pleural effusion (black arrowhead).
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Chest and abdominal computed tomography (CT) scan without contrast-enhanced were ordered immediately. Chest CT scan revealed a paraspinal mass in the left posterior mediastinum (Figure 1(a)) and overinflation in the left lower lobe (Figure 1(b)).
Contrast-enhanced chest CT scan findings following antibiotic therapy.. The paraspinal mass was mildly enhanced without significant feeding vessels.
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The paraspinal mass was mildly enhanced without significant feeding vessels (Figure 2(a)), and congenital lobar emphysema was considered in the left lower lobe (Figure 2(b)).
Thoracoscopic findings of this patient. (a) A triangular mass with a dark and hemorrhagic appearance was found above the diaphragm, and the mass had its visceral pleura. (b) The mass was connected to the thoracic aorta by a twisted feeding vessel (white arrow).
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A 5 x 4 x 4 cm triangular mass covered by visceral pleura with a dark and hemorrhagic appearance was found above the diaphragm (Figure 3(a)). After isolating the mass from the surrounding tissues, we noticed that the mass was connected to the thoracic aorta by a twisted feeding vessel (Figure 3(b)).