PMC6557750_01
Anteroposterior (AP) chest x ray of the patient.
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Regard to a persistent abnormal chest x-ray of the patient despite the mentioned treatment, consisted of opacity in the right upper lobe of lung in favor of collapse consolidation and atelectasis(Fig. 1) probability of the TEF, GERD or other obstructive lesions was noticed and upper gastrointestinal tract study with thin barium was ordered which resulted in no evidence of TEF, but esophageal regurgitation during ingestion of contrast was seen and a mass like lesion in the size of 35.34 mm adjacent to upper intra-thoracic esophagus with mild mass effect was observed (Fig. 2, Fig. 3) and thoracic CTS with contrast media was suggested for a better evaluation.
Upper GI tract study of the patient (AP view).
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Regard to a persistent abnormal chest x-ray of the patient despite the mentioned treatment, consisted of opacity in the right upper lobe of lung in favor of collapse consolidation and atelectasis(Fig. 1) probability of the TEF, GERD or other obstructive lesions was noticed and upper gastrointestinal tract study with thin barium was ordered which resulted in no evidence of TEF, but esophageal regurgitation during ingestion of contrast was seen and a mass like lesion in the size of 35.34 mm adjacent to upper intra-thoracic esophagus with mild mass effect was observed (Fig. 2, Fig. 3) and thoracic CTS with contrast media was suggested for a better evaluation.
Thoracic CTS of the patient.
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Severe compression on the trachea and resulted in severe luminal narrowing was seen in the CTS. (Fig. 4), Based on these results neuroblastoma was suggested.
Thoracic CTS of the patient.
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According to the international neuroblastoma pathology classification (INPC), favorable histopathology was reported (Fig. 5, Fig. 6, Fig. 7).
Poorly differentiated neuroblastoma with fibrillary background (H&E*20).
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According to the international neuroblastoma pathology classification (INPC), favorable histopathology was reported (Fig. 5, Fig. 6, Fig. 7).