PMC4821250_01
A-chest radiograph showing two opacities in the parenchyma and paravertebral. B- Chest-CT on pulmonary window showing lung mass with soft tissue in the right lower lobe and cystic mass in the paravertebral lesion. C- Chest-CT on mediastinal window showing the lung mass in the right lower lobe and cystic mass in the paravertebral lesion near the esophagus.
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The chest radiograph at admission (Fig. 1A) showed a round well defined opacity in the right lower lobe and a paravertebral opacity, chest-CT scan showed a round well defined soft tissue mass measuring 38.5/31.3 mm localized on the right lower lobe and a 40 mm (in the greatest diameter) right paravertebral cystic mass (Fig. 1 B and C).
Resection specimen of both pulmonary and paraesophageal cyst.
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A lower lobectomy was performed, in addition to the complete excision of the paraoesophageal cyst (Fig. 2 A,B,C).
Photomicrograph of the resected specimen showing cyst lined by coating respiratory type ciliated and pseudostratified associated with cartilaginous structures. A- HE x 40, B- HE x100.
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The paraoesophageal cyst was whitish, cartilaginous in consistency and measuring 4.5/3 cm for both lesions, histology concluded to a bronchogenic cyst (Fig. 3).
Postoperative chest radiograph don't show anomaly with good expansion of lung parenchyma (superior and middle lobe).
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Chest radiograph was normal with 4 years and 7 months of follow-up and the patient is actually asymptomatic (Fig. 4).