Caceres’ Corner Case 140 (Update: Solution)


Dear Friends,

The case of this week is a pre-op radiograph for a knee prosthesis in a 57-year-old woman. What do you see?

Check the image below, leave your thoughts in the comments section and come back on Friday for the answer.

PA chest

Click here for the answer to case #140

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    May 2016
    DISCUSSION 12 Comments

    12 Responses to : Caceres’ Corner Case 140 (Update: Solution)

    1. Diogo Pinheiro says:

      Bulging left paraspinal line. Posterior mediastinal lesion. Ddx includes neurogenic tumor, extramedullary haematopoiesis, and vascular abnormality.

    2. M. A. Fahmy says:

      Loss of the cardiac waist in keeping with dilated pulmonary artery.
      Minimal scoliotic list of the lower thoracic spine.
      Clear lung fields.
      Mmmm, I think there is an irregularity of the left hemi-diaphragm, may be sub phrenic cause, ? Gastric mass.

      • M. A. Fahmy says:

        Yes, I agree as well with Diogo for the bulging of left para spinal line with a soft tissue, may be the cause of the slight scoliosis.

    3. Cornilius Mushambi says:

      I agree with Diogo

    4. Moustafa Yehia says:

      Bulging noted at the aortopulmonary window with no associated vascular changes .. Enlarged LN is suspected for CT, no scilhouting of the descending aorta, middle mediastinal pathology

    5. sht says:

      Agree with bulge in left paraspinal line.
      No cardiomegaly, but cardiac apex uptilted – ?RV hypertrophy.

    6. Uli says:

      I go for a Posterior mediastinum paraspinal ganglioneuroma- Because of the shape, age and location.. Maybe we should look for Men 2b with tendency to marfanoid habitus associated with lower limb problems.

      Extramedullary hematopoesis is less probable cause I dont think there are signs of splenomegaly which we usually could see in such case

    7. genchi bari italia says:

      …Diogo ….l’idea iniziale….Uil….la diagnosi finale…..

    8. I.KARIMO says:

      anterior mediastinal lesion

    9. Aloria says:

      left hilar malignant mass

    10. Ehab says:

      Left para spinal homogeneous opasity opposit D6 and D7. Right list of mid dorsal spine. No pulmonary lesion. Posterior mediastinal mass is considered