Caceres’ Corner Case 178 (Update: Solution!)

Dear Friends,

This week I am presenting a case that my wife saw three weeks ago. The radiographs belong to a 45-year-old man, asymptomatic. What will be your diagnosis?

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

1. Enlarged azygos vein
2. Enlarged ymph node
3. Mediastinal mass
4. Any of the above

Click here for the answer

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    Feb 2018
    DISCUSSION 16 Comments

    16 Responses to : Caceres’ Corner Case 178 (Update: Solution!)

    1. Mk says:

      Good morning!

      In the PA and lateral x-ray the azygos vein is enlarged, with an enlarged right hilum respect to the left one.

    2. Daniel says:

      Amigos continuation of ivc?

    3. WaleedMD says:

      Enlarge lymph node

    4. Andrey says:

      Double aortic arch?

      • Jose Caceres says:

        In my experience, when you see a double aortic arch, the right one is usually higher than the left.
        But I may be wrong 😉

    5. Faysal says:

      I think it could be any of the above choices .

    6. genchi bari italia says:

      ….potrebbe essere un aneurisma dell’aorta ascendente con ipertrofia ventricolare sx.

    7. Diogo says:

      The azygos vein is enlarged. I can’t see the gastric bubble on the left, but there is some gas on the right. Maybe azygos continuation of IVC as part of an heterotaxy syndrome?

    8. Trinity says:

      Levocardia with situs solitus